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of mothers who are not Edmonton residents, are excluded from our statistics,
just as foreign deaths are ; of these, 47 occurred in the Workhouse. The
Registrar-General has again not reported any births which took place when
Edmonton mothers were residing temporarily out of their district, but from
other Medical Officers of Health I have received notification of seven births—
four boys and three girls; of these, four (two boys and two girls) were Belgians,
two of whom were born in the Whitechapel Workhouse and two in the City of
London, of mothers sent from the Refuge. Thus the nett total of births was
1,196, excluding the four Belgians last mentioned. Of these 1,196 births,
59 (4.9 per cent.) were declared illegitimate; this rate is 0.8 per cent, more
than last year. The birth-rate per 1,000 inhabitants is therefore 16.09, compared
with 18.20 last year. My lowest record of births in Edmonton for a
lunar month was for the four weeks ending June 16th, and numbered only 88.
Notification of Births Acts, 1907 and 1915. During this year 1,293
births were entered in our register; of these 651 were males and 643 females;
97 (7.5 per cent.) of the whole number were born out of wedlock, and one more
was of doubtful legitimacy. Forty-two children were declared "stillborn."
Mr. H. Weston was appointed Superintendent of the Cemetery vice Mr. Bugg,
in March. He informs me that there were 34 children styled ''stillborn'' buried
during 1918; for 1917-16-15 the figures were 35, 54 and 46. For work done
in visiting infants and their mothers, see section "The Women Inspectors
and their work." In a previous paragraph it is rioted that 1,248 births were
registered during 1918 The figures of notification and registration will, of
course, never coincide, but they shew that few, if any, births escape notification
in accordance with the Act. Twenty-two pairs of twins arrived, and one
set of triplets. No Belgian women were confined in Edmonton Workhouse
and Refuge.
The birth-rate (16.09) for 1918 is 2.11 less than last year, and is 1.61
lower than 17.7, the birth-rate of England and Wales for 1918. The birthrate
for the preceding ten years will be found in Column 5 of Table 1.
DEATHS.
The gross total of deaths registered in the district during the year was
1,257—680 males and 577 females: of these, 368 occurred among non-residents
at Edmonton Workhouse and Infirmary, and 10 temporarily resident, while
103 deaths of Edmonton residents and 2 vagrants, taking place in the Edmonton
Workhouse and old Infirmary, are included in our nett deaths. Thus the
number of deaths amonszst "Edmonton residents" registered in the district
amounted t.o 733, besides 2 vagrants.
Of the 116 ' war" deaths, all were registered here; they are considered
separately, as instructed by the Local Government Board.
The gross death -rate is based upon the total number of deaths registered
in the district, and is 15.23 per 1,000 living. This rate is calculated
on the estimated gross population of 74,914 (excluding the military).
The nett death -rate is based upon the total number of deaths of Edmonton
residents occurring inside or outside the district, and is 12.18. This rate