London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Hackney 1958
[Report of the Medical Officer of Health for Hackney]
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13
for England and Wales is the lowest ever recorded, being 0.5 per 1,000 below
that for 1957, the previous lowest. Comparable infant mortality figures for
Hackney, London, and England and Wales, for the last five years:–
1958 1957 1956 1955 1954
Hackney 20.09 20.27 17.81 23.18 19.21
London 22.6 21.9 21.4 23.20 20.68
England and Wales 22.6 23.1 23.8 24.90 25.50
From the following table it will be seen that of the 56 infant deaths, 36
occurred in the first four weeks of life, and twenty-three of these occurred in
the first 24 hours. Some 20 deaths were associated with prematurity, and congenital
malformations accounted for thirteen.
CAUSES OF DEATH IN CHILDREN UNDER ONE YEAR
| Under 24 hours | 1 day to 1 week | 1 - 2 weeks | 2 - 3 weeks | 3 - 4 weeks | Total under 4 weeks | 1-3 months | 3-6 months | 6-9 months | 9-11 months | Total | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Asphyxia Inhalation of Liquor Amnii | 1 | _ | - | – | – | 1 | - | - | – | – | 1 |
| Atelectasis | 3 | - | - | - | – | 3 | - | – | – | – | 3 |
| Atelectasis. Prematurity | 5 | 1 | - | – | – | 6 | – | – | – | – | 6 |
| Atelectasis. Prematurity. Cerebral haemorrhage | 1 | _ | _ | – | - | 1 | - | – | – | – | 1 |
| Bronchiolitis - Acute. Bilateral otitis | – | – | |||||||||
| media | – | – | – | – | – | – | – | – | 1 | – | 1 |
| Bronchitis | – | – | – | – | – | - | – | 1 | 2 | – | 3 |
| Cerebral abscess. Cerebral haematoma | – | – | – | – | – | - | 1 | – | – | – | 1 |
| Compression of neck by strap in child's chair - Accidental | – | – | – | _ | – | _ | – | – | – | 1 | 1 |
| Congenital | 3 | 2 | – | 1 | – | 6 | 2 | 3 | – | 2 | 13 |
| Gastro-enteritis (Acute) | – | – | – | – | – | - | – | 1 | – | – | 1 |
| Hydrocephalus. B. coli meningitis | – | – | – | – | – | - | 1 | – | – | – | 1 |
| Intestinal obstruction due to acute intussusception | – | – | – | – | – | – | 1 | – | – | – | 1 |
| Intracranial haemorrhage. Bilateral tentorial tears. Bilateral pneumothorax. Scleroderma | – | 1 | – | – | – | 1 | – | – | _ | – | 1 |
| Intrapartum asphyxia. Multiple pregnancy | 1 | – | – | - | – | 1 | - | – | - | – | 1 |
| Intra uterine cerebral haemorrhage | 1 | – | – | - | – | 1 | ~ | – | ~ | – | 1 |
| Massive collapse of the lungs - Acute. (Operation Rectosigmoidectomy) | – | – | – | – | – | – | – | – | – | 1 | 1 |
| Massive inhalation of meconium. Intrapartum asphyxia | 1 | – | – | - | – | 1 | - | – | – | – | 1 |
| Pneumonia | 1 | 1 | – | – | – | ~ | – | 2 | – | 4 | |
| Prematurity | 5 | 4 | 1 | - | – | 10 | - | – | – | – | 10 |
| Prematurity. Antepartum haemorrhage | 1 | – | – | – | – | 1 | ~ | – | – | – | 1 |
| Prematurity. Convulsions ? Cerebral agenesis | – | 1 | – | - | – | 1 | - | – | - | – | 1 |
| Pulmonary oedema. Prematurity. | – | 1 | – | " | – | 1 | ~ | – | ~ | – | 1 |
| Sickle cell anaemia | – | – | – | – | – | – | – | – | – | 1 | 1 |
| Totals | 23 | 11 | 1 | 1 | – | 36 | 5 | 5 | 5 | 5 | 56 |