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

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Marylebone 1929

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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26
The main sources of the notifications are set out below. The figures, it may
be noted, refer to notifications and not to births.
No. Per cent.
From parents 20 0.6
„ doctors 151 4.0
„ midwives 532 14.1
„ other persons 264 7.0
„ hospitals, etc 2,802 74.3
3,769
Of the total births notified, 191 referred to still-births (120 males and 71
females): 2,233 took place at Queen Charlotte's Hospital; 267 at Middlesex
Hospital; 183 at St. Marylebone Home; and 967 were born at home. Of those
notified as having occurred in St. Marylebone, 2,139 belonged to other Boroughs.
Of the 191 still-births only 37 (23 males and 14 females) were to St. Marylebone
mothers.
DEATHS AND DEATH RATES.
The number of deaths registered in 1929 was 1,455. This figure is inclusive
of persons who, though normally resident in the Borough, died in institutions
outside, but exclusive of persons, who, though they died in St. Marylebone, were
ordinarily resident in other parts of England or Wales. Deaths of persons
ordinarily resident outside the borders of England and Wales are included in the
St. Marylebone figures, if they occur in the Borough.
The corercted death-rate* per thousand for the year was 13.24.
In the previous year, the rate was 11.14, and the number of deaths 1,238.
The following short table shows the death rates in the several registration
sub-districts in 1929 and compares them with those of the preceding 5 years :—
1924 1925 1928 1927 1928 1929
All Souls 9.7 9.2 9.6 9.7 9.9 13.3
St. Mary 15.6 12.5 13.6 14.2 12 0 13.8
Christ Church 14.4 12.9 18.6 12.6 13.4 15.8
St. John 14.6 12.5 14.3 11.9 12.8 13.8
The Borough 13.6 11.0 11.9 11.8 11.1 13.2
District births and deaths for the year ended 31st December, 1929, are given
in the following table. A further table giving the vital statistics of separate
localities for 1929 and the ten preceding years will be found amongst the Ministry
of Health Tables on page 64.
Population
estimated to Births. Deaths.
Sub-District. middle of 1929. Males. Females. Total. Males. Females. Total.
All Souls 24,532 118 115 233 151 176 327
St. Mary 26,228 127 127 254 177 185 362
Christ Church 31,873 260 243 503 258 251 504
St. John 19,767 138 105 243 124 138 262
The Borough 102,400 643 590 1,233 705 750 1,455
*By a "corrected death rate" is meant one which has been treated in such a way, raised or
lowered in a certain ratio, as to be comparable with the death rates similarly treated of other
districts. That "correction" is necessary is due to the fact that differences in death rates in various
areas are not entirely dependent upon the sanitary conditions existing in these areas, but also on the
constitution (age and sex) of the population. A population consisting of aged persons would show more
deaths than one consisting entirely of young anl vigorous adults; a population made up of a large
number of males ana a small number of females has more deaths and a higher death rate than one
in which the females outnumber the males. The death rates of such populations are not comparable
the one with the other nor with those of populations differently constituted. To overcome this
difficulty the Registrar General issues a "factor for correction " for each district which represents
the number of times which the actual death rate of each must be raised in order to permit of its
examination side by side with the rates of other districts. The "factor for correction" in the case of
St. Marylebone in 1929 is 0.944, and the corrected death rate is obtained by multiplying with this
figure the number of deaths per 1,000, calculated from the total deaths and the population estimated
to the middle of the year.