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appendix. xxiii
Appended to this Report are Summaries of the Causes of Death
for the years 1891, 1892, 1893, 1894 and 1895.
Infant Mortality.— Throughout the central districts of the
Metropolis the death-rates of children have for many years been
higher than in any other group of districts. In my Annual Report
for 1892, I pointed out that 211 infants in each 1,000 born in the
Strand District died before they were one year old, against 154 in
all London, and I added, "this large mortality among infants (the
"highest of any district in London) is apparently not confined to
"1892, for 1 find the same rate prevailed exactly 10 years ago and
"that in the interval it has averaged 220."
Being unable to ascertain the Birth-rate in the represented Area
with accuracy, I cannot present figures for comparison. The birthrate
in the Registration Sub-districts containing the Area have not
been high, averaging only 22.1 per 1,000 population during the last
five years, while the average for all London during the same period
was 30.8. Undoubtedly, however, the birth-rate in the Area would
be higher than that of the remaining portion of the Registration
Sub-district.
In the Registration Sub-districts of St. Mary and St. Clement
(now united into the Sub-district of "Strand") the deaths of children
under 1 year of age have always been excessive. Table XI exhibits
the rates during the last three years in London and in the southern
part of the Strand Sanitary Area.

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