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

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Enfield 1965

[Report of the Medical Officer of Health for Enfield]

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Of the cardio-vascular causes, 713 were due to coronary disease (angina), 397
to vascular lesions of the nervous system, 259 to other heart disease, 190 to other
circulatory disease, and 47 to hypertension with heart disease.
Of the malignant neoplasm causes of death, 191 involved the lung and bronchus
(of which 164 were males), 73 the stomach, 64 the breast, and 13 the cervix of the
uterus.
Of the diseases of the respiratory system, bronchitis accounted for 154 deaths,
pneumonia 132 deaths, and tuberculosis only 7 deaths.
There were no deaths during the year from diphtheria, whooping cough, poliomyelitis
or measles.
46% of all deaths, i.e. 559 males and 865 females, were of persons aged 75
years or more.
31%, i.e. 343 males and 617 females, were of persons aged 80 years or more.
Three males and seventeen females were aged 95 years or more, and three
females were over 100 years of ageā€”one reaching the age of 104 years.
I am pleased to report that there were no maternal deaths.
Deaths of Infants
During the year, there were 77 deaths of infants under the age of one year,
of which 54 (70%) were under the age of four weeks and 49 (64%) under the age of
one week.
The Infant Mortality Rate for the Borough was 18.12, compared with 19.0 for
England and Wales, which is the lowest ever recorded for the country as a whole.
Most of the infant deaths occurred, as usual, under the age of one week. The
most common causes of death at this age were prematurity and congenital malformations.
It is in the reduction in the numbers of these neo-natal deaths and stillbirths
that we must hope for greater success in the future.
Several children died during the later months, also from congenital malformations
but the most common cause was pneumonia and bronchitis.
Fatal Accidents
During the year under review, 27 (19 male, 8 female) Enfield residents died as
a result of motor vehicle accidents, and 52 (34 male, 18 female) from other accidents.
In addition, there were 34 (18 male, 16 female) deaths from suicide, and 4 cases of
homicide. A considerable number of deaths occurred from accidents in the home,
mainly amongst elderly people, and the most common causes were asphyxia due
to accidental coal gas poisoning, barbiturate poisoning, and injuries due to falls
which in several cases led to lung complications.
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