Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Tottenham]
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4
1962 1963
(b) Illegitimate Males 2 4
Females 4 4
Total 6 8
Death-rate per 1,000 illegitimate live-births 23.44 31.37
(c) Total Males 31 33
Females 20 23
Total 51 56
Death-rate per 1,000 total live births 22.84 24.91
Deaths of Infants under 4 weeks (Neo-natal Mortality) 41 42
Rate per 1,000 live births 18.36 18.68
Deaths of Infants under 1 week (Early Neo-natal Mortality) 38 36
Rate per 1,000 live births 17.02 16.01
Stillbirths and deaths under 1 week (Perinatal Mortality) 78 69
Rate per 1,000 live and still births 34.32 30.25
Movement of Population
There is a continuous substantial movement of population both into and out of the
Borough and since 1949 the outward movement has consistently exceeded the inward with
a consequent steady fall in population.
In 1963, although there was a natural increase in population arising from births
exceeding deaths by 809, the Registrar General's estimate of population shows a
reduction of 320 meaning that the outward movement of population was greater than the
inward by 1,129.
Classification of Deaths
Deaths are classified under 36 headings barsed on the abbreviated list under
International Statistical Classification of Diseases, Injuries and Causes of Death,
1955. Deaths are assigned to the area where the deceased normally resided, except
where the deaths occurs in a residential home or in a chronic or mental hospital where
the deceased has been a patient for six months or more.
Comparability Factors
To enable local vital statistics to be compared with other districts or with
national figures the Registrar General issues comparability factors for correcting crude
birth and death rates. These factors make allowance for the way in which the sex and
age distribution of the local population differs from that for England and Wales as a
whole-. The death 'rate comparability factor has been adjusted specifically to take
account of the presence of residential institutions in the area.
To compare the crude birth and death rates for Tottenham with the national rates;
Tottenham's figures must first be multiplied by the appropriate comparability factor
0.98 for births and 1.02 for deaths.
Birth Rate
The birth rate 19.95 per 1,000 population, which is fractionably higher than the
1962 rate, is approaching the immediate post war peak when in 1947 a birth-rate of
21.57 was recorded. There are many factors which may affect the birth rate and the
increase does not necessarily reflect a trend toward larger families. It is probable
that a basic reason is a trend toward earlier marriages resulting in a high number of
marriages during the transitional stage.