Public Health and Poor-Law Medical Services

1890 BMJ (Clinical Research Edition)  
in-the-East, Whitechapel, and Fuiham, where the population contains a large proportion of PUBLIC HEALT young married persons, the birth-rates showed a marked excess. AND~~~~~~~T he 18,987 deaths of persons belongaing to London registered POOR-LAW MEDICAL SERVICES. during the quarter under notice were equal to an annual rate of 17.5 per 11,000, which was as much as 3.0 below the mean rate in the fourth quarter of the ten preceding years, 1879-88, and was THE TRUE DEATH-RATES OF LONDON DISTRICTS
more » ... F LONDON DISTRICTS DURING lower than that in the corresponding period of any year on record. THE FOURTH QUARTER OF 1889. The lowest death-rates during the three months ending December IN the accompanying table will be found summarised the -vital last among the forty-one sanitary districts were 12.4 in Kensingand mortal statistics of the forty-one sanitairy districts of the ton and in St. George Hanover Square, 13.5 in Hampstead and in metropolis, based upon the Registrar-General's returns for the Battersea, 13.6 in Lewisbam, 14.2 in Hackney, and 14.5 in Wandsfourth or autumn quarter of last year. The mortality figures in worth; in the other districts the rates ranged upwards to 23.0 in the table relate to the deaths of persons actually belonging to the Fulham, 23.6 in Bethnal Green, 24.2 in London City, 24.5 in Whiterespective sanitary districts, and are the result of a complete chapel, 26.4 in St. Gieorge-in-the-East and in Stepney, and 26.5 in system of distribution of deaths occurring in the institutions of Holborn. During the quarter under notice 1,942 deaths were re-London among the various sanitary districts in which the patients ferred to the principal zymotic diseases in London; of these, 455 had previously resided. By this means alone can trustwortby resulted from whooping-cough, 439 fram diphtheria, 323 from data be secured upon which to calculate reliable rates of mor-measles, 261 from scarlet fever, 253 from diarrhoea, 210 from tality. different forms of "1fever " (includiing 7 from t-yphus, 193 from The 31,827 births registered in London during the three months enteric or typhoid fever, and 10 from simple and ill-defined forms ending December last were equal to an annual rate of 29.4 per of fever), and 1 from small-pox. These 1,942 deaths were equal 1,000 of the population of the metropolis, which showed a further to an annual rate of 1.8 per 1,000, which was 0.5 per 1,000 below decline from the rates recorded in the corresponding periods of the mean rate in the corresponding periods of the ten preceding recent years. The birth-rates in the various sanitary districts years, 1879-88. The lowest zymotic death-rates among the various showed the usual wide variations, the sex and age distribution of sianitary districts last quarter were recorded in Strand, Plumstead, the population differiing greatly. In St. Martin-in-the-Fields, Lewisham, St. George Hanover Square, and Hampstead, in none London City, Kensington, St. George Hanover Square, and St. James of which sanitary districts did it exceed 1.0 per 1,000. The zymotic Westminster, the birth-rates were considerably below the average; ,rates ranged upwards in the other districts to 2.4 in Chelsea and in
doi:10.1136/bmj.1.1516.158 fatcat:nidpivue3bbxdolhm34hi4hdiy