In estimating the death-rates of different sanitary areas of London
it has been customary for the last six years to distribute the deaths
occurring in institutions to the districts to which the deceased
'belonged,' and to exclude entirely the deaths of persons belonging
to districts outside registration London; in this way about 1·5 per
cent. of the deaths occurring in registration London may be excluded.
This manœuvre helps to diminish the London death-rate, but, as no
account is taken of sick people who leave London to die elsewhere, it
is manifestly an unjustifiable thing to do.
If the strangers who die in London institutions are to be excluded, it
is a question whether all strangers merely sojourning in London ought
not to be excluded from the estimate of population. Again, a man comes
from the country and is knocked down by a vehicle in the street and
dies in a London hospital; or during a sojourn in London he gets caught
in a London fog and dies of bronchitis; or he 'catches' influenza, or
pneumonia, or diphtheria in London and dies. Surely the deaths of these
three ought to be credited to London in all fairness. It is a very
dangerous thing to 'cook' statistics, and we do not get much nearer the
truth by doing so.
The best indication, probably, as to whether the conditions of life in
any locality are healthy or the reverse is the infant mortality; in
this way we exclude the fallacies due to abnormal age distribution,
because we compare identical age periods; and the proportion of the
sexes among children is practically the same everywhere. We exclude
also the influences of occupation. By studying the mortality of
children under five we are studying the influence of the home and home
surroundings on the incidence of disease, which is particularly what we
wish to do.
In the decennial supplement of the Registrar-General published in
1896, Dr. Tatham gives a table (Table II. p. lxxxii. _et seq._) of
the 'annual death-rate per million living among children under five
years of age, from all causes and from several causes, 1881-90.' This
valuable table ought to be most widely studied. Being based upon
statistics of ten years intervening between the censuses of 1881 and
1891, the estimates of population have a maximum of reliability,
because we are relieved of the errors inseparable from statistics
referring only to short periods of time.
It is constantly stated that London is the healthiest city in the
world, a statement which, if true, must make us very sorry for the
other cities. In Dr. Tatham's table, alluded to above, he first deals
with counties.
We find that the death-rate of children under five from all causes
in England was 56,825 per million; that the highest death-rate among
children was in Lancashire (72,795), and the next highest was in the
county of London (68,164). The lowest death-rate was in the county of
Dorset (35,651).
Table Legend:
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account