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

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City of London 1913

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

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Deducting these latter, 137 deaths remain, to which must be added those of 122
persons who died in Institutions in outside districts, where they were registered ; the
total, therefore, on which the City death-rate is calculated is 259.
The death rate for 1913 was 14.5* per 1,000 per annum of the population (the
previous year being 9*5), whilst that for the whole of the Metropolis was 14.2.
These two death rates as here stated show a marked difference to the disadvantage
of the year under review ; this is due to the fact that during the present year considerable
care has been taken to obtain knowledge respecting the deaths of persons usually
resident within the City but who died outside the City boundaries, there is, of course,
equal justification for including in the City mortality returns the deaths of such persons
as there is for excluding the deaths of non-residents dying within the City. These
latter deductions have always been made, and as a consequence of the additions
referred to above, the death rate is on the present occasion higher than has been
reported in the few previous years. The increase in the mortality rate is due entirely
to this cause and not tc any extraordinary prevalence of disease. The additional figures
mentioned are furnished by the Registrar-General, and although in some instances
absolute proof that the deaths are those of City residents is not forthcoming, there is no
alternative but to accept them.

Death Rates, per 1,000 per Annum.

Year.City of London.95 Great Towns of England and Wales.Metropolis.
190812.615.514.0
190916.015.614.0
191012.113.412.7
191110.915.515.0
19129.513.813.6
Average previons five years12.214.813.9
191314.514.714.2

The death rate from zymotic disease per 1,000 of the population was 0.34 compared
with 1.38 in the Metropolis.
The deaths from phthisis correspond to a rate of 1.6 per thousand of the
population, as compared with 1.30 in the Metropolis,
Infantile Mortality.
The deaths of children under one year of age were at the rate of 96 per 1,000
births, as against 105 for the whole of London.
The Table of infantile mortality on p. 22 shows the deaths of children under one
year arranged according to monthly age periods. From this it will be seen that no less
than 43.8 per cent. of these deaths occurred in the first month, 68.8 per cent. within the
first three months, and 81.3 per cent. during the first six months of existence.
* The death rate as calculated from statistics in my possession differs from that stated by the Registrar-General by
reason of the fact that during the first months of the year the system of inward transfer of deaths was not in operation.