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14
births.
During the year 1911, 410 births were registered in the City. The annual birth
rate was at the rate of 21.0 per 1,000 persons of all ages, compared with a quinquennial
mean rate of 14.4 per 1,000. The birth rates last year in the Sub.Districts were—
St. Botolph 5.4 per 1,000.
St. Sepulchre and Allhallows . . 15.6 „
In the Metropolis the birth rate in 1911 was 25.0 per 1,000.
This decline in the birth rate has been in operation in this country since 1876,
and is common to nearly all European countries.
vaccination.
Of the 410 children born in 1911, 153 had been successfully vaccinated by the end
of the year, 34 had died before the age for vaccination, and 1 was insusceptible.
Vaccination was postponed by medical certificate in 14 cases, 121 had removed into other
districts, and 38 vaccinations were pending at the end of the year. There were 49
cases of conscientious objection.
The Public Vaccinators performed 1,230 re.vaccinations during the year.

VACCINATION ACT, 1907.
It will be seen that the number of conscientious objectors is still very high.
This is doubtless due to the Vaccination Act of 1907, which is a direct encouragement
to persons not to protect their children from the risk attending an attack of small.pox.
mortality.
During the year under review, 842 deaths were registered in the District, including
*711 persons dying in the City, but not belonging thereto. See Table, p. 20, for details.
Deducting the latter 131 deaths remain, to which must be added 82 persons who
died at City Institutions in outside districts, where they were registered. The mortality,
therefore, from which the City death rate is calculated is 213.
* These deaths occurred in St. Bartholomew's Hospital, and the Union Depôt, Thavies Inn.