Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London, City of ]
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general death-rate of 25.1 for the entire City. The
average death-rate in the City, during the last ten
years, is 24.3 per 1,000 of the inhabitants; and the
death-rate of the chief towns and town districts of
England is 24.4—that of the whole of England
being 22 2, and of the country districts 19.8.
Although, therefore, the aggregate mortality of the
City has not been much larger than that of the
town districts of this country, yet, in some localities
of the City, the death-rate has been very high; in
the Western Union, for example, it has reached to
29.3 per 1,000 of the population. You will observe,
moreover, that the mortality of males has been
much greater than that of females, for the former
have died at the rate of 27 per 1,000, and the latter
at only 24; the averages throughout the country
being 23 and 216.
As regards the ages at death, it will be noticed
that about 39 per cent. of all the deaths were
among children of less than five years of age. This
does not seem, at first sight, to be a large infant
mortality, for the proportion in the rest of London
is about 44 per cent., and in England it is nearly
40; but when we consider that the number of
young children in the City is comparatively small,
that the births are far below the average, and that
there is a constant importation of adult life, it will
be evident that the infant mortality is excessive.