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73
The estimation of the mortality of a Parish, in regard to
the extra parochial deaths, is a matter of uncertainty. In some
of the returns of mortality they are excluded; but this is obviously
unfair, as, e.g., the deaths of patients who have acquired
their fatal diseases in a parish should surely be included in the
mortality returns. But in the case of those who are removed to
extra parochial workhouses, many of them not old, and who
remain inmates for years, often many, it may be doubtful
whether the altered conditions under which they live may not
have influenced their deaths; or some disease may not have been
acquired in their new abode, which could not be traced to their
former residence. This is also particularly the case in regard to
lunatics, some of whom may live 20 years or more in a new
parish, before death occurs. At any rate, all deaths removed
from this parish, however long ago, and dying in other parishes,
are included in my estimate of the mortality ; so that it cannot be
said that the mortality is under-rated.
At the Census in 1871, the population of Clerkenwell amounted
to 65,380; in 1881 to 69,076; the increase being 3,696. Assum
ing this rate of increase to have continued during the last 5 years,
the present population of the Parish will be 70,921.
At this rate, the intra parochial mortality for the year has
been 16.4 per 1,000 ; including the hospital deaths, 18.4 ; and the
Workhouse and Infirmary deaths, and Lunatics, 20.8 per 1,000.
Hence the mortality of the year has been very slightly below
that of the preceding year.
The mortality for all London during the year was 19.9—that
of the West Districts, 19.2; of the North Districts, 18.1 ; of the
Central Districts, 23.6 ; of the East Districts, 23.3 ; and of the
South Districts, 19.1.