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

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Hackney 1860

[Report of the Medical Officer of Health for Hackney]

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during the first and last quarters of the year. That, between
1 and 20 years of age, 404 or 26.2 per cent, of the whole expired,
and, as at the preceding period of life, the largest mortality-rates
occurred in the first and last quarters, whilst only 201 or 13.0 per
cent, died between 20 and 40 years of age. The per centages in
the different years varied almost as much in the period 1 to 20
years as for the first year of life, having been 26.2 in 1860 ; 25. 1
in 1859 ; and 22.4 in 1858, while between 20 and 40 the mortuaryrates
are nearly the same for the years 1858-60, having been
13-5 ; 13.5 ; and 13.0 respectively. Between the ages of 60 and
80 there died 330 persons or 21.4 per cent., and of those who were
more than 80 there died 98 or 6.4 per ccnt. of the whole. The
rates in 1858-60 of those between 60 and 80 were 20.1 ; 21.3 ;
and 21.4 per cent., and of those above 80, 5.3; 6.7; and 6.4 per
cent, of the total deaths in each year. These averages differ
but little from those of former years, except as regards children
under one year old, amongst whom there was a much smaller
number of deaths than usual. This reduction in the mortality
of young children was the result, in great measure, of the
low summer temperature, and the consequent comparative
absence of diarrhoea.
By a reference to the Table we also ascertain that the largest
mortality for the year occurred during the first quarter, 490 having
been then registered against 382 in the fourth, which is a far greater
disproportion than usual. The mortality in the other quarters was
382 in the fourth ; 262 in the second; and only 308 in the third,
which is a most unusual occurrence. The per centages were 31.8
per cent, in the first quarter ; 23 5 in the second; only 20.0 in the
third; and 24-7 per cent, in the fourth quarter.
The number of deaths enumerated in Table VIII include
those which occured in the East London Union and German
Hospital, which, in accordance with the plan hitherto adopted
I shall deduct, before calculating the average duration and
the expectancy of life. The mortality in the East London Union
clearly does not belong to the district; but it is questionable
how far it is advisable to eliminate the deaths which take
place in the last-named Institution. Considering, however, the