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

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Ealing 1961

[Report of the Medical Officer of Health for Ealing]

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50
INFANT MORTALITY.
There were 44 deaths of infants under one year of age
in 1961 making an infant death rate of 15 per thousand
live births (16 in 1960). Of the 44 deaths, 38 occurred
within the first month of life and of these, 32 were
within the first week and 23 within the first day of
birth. The first 24 hours of life appears therefore to be
the most dangerous, but for those who survive the first
4 weeks, the risks are nowadays small.
By far the most frequent cause of infant death is
still prematurity; 19 babies died of this in 1961. Pour
of these were stated to be associated with maternal
toxaemia of pregnancy and this may well have been the
precipitating factor in other cases. Further knowledge on
the prevention and cure of toxaemia may be needed before
the prematurity rate is appreciably reduced. Many cases
of premature birth still remained unexplained. Congenital
abnormalities formed the next most frequent cause of
death after prematurity. There were 7 deaths from this
cause in 1961 (13 in 1960). The number shows no increase
in Ealing over the years despite the reputed danger from
radiation.
Four babies died of atelectasis failure of the
lungs to expand at birth and 2 from asphyxia at birth.
Three deaths were due to Rhesus incompatibility.

There were 5 deaths from infection and these were all infections of the lung. It is of interest to compare the deaths from infections of all types and from prematurity and congenital malformation in babies under 1 year of age in Ealing in the years 1917, 1931 and 1961:-

191719311961
Total births1,0641,8172,895
Total infant deaths678444
Deaths from all types of infections in babies under 1 year37275
Prematurity71919
Congenital malformation597