GOVERNMENT OF .

THE REGISTRAR-GENERALS ANNUAL REPORT FOR 1940

Containing General Abstracts of Birthsj Deaths and Marriages registered in Northern Ireland during the year

Presented to Parliament pursuant to Statute

Ordered, by the House of Commons, to be printed 7th March, 1944

BELFAST : PUBLISHED BY HIS MAJESTY'S STATIONERY OFFICE ON BEHALF OF THE GOVERNMENT OF NORTHERN IRELAND To be purchased directly from H.M. Stationery Office at the following addresses 80 CHICHESTER STREET, ; York House, Kingsway, London, W.C.2 ; 13A Castle Street, Edinburgh 2 ; 39-41 King Street, Manchester 2 ; 1 St. Andrew's Crescent, Cardiff ; or through any bookseller 1944 Price 2s. 6d. net H.C. 630 GENERAL REGISTER OFFICE, FERMANAGH HOUSE, ORMEAU AVENUE, BELFAST. March, 1944.

To Major the Right Honourable J. Maynard Sinclair, Minister of Finance for Northern Ireland.

SIR, I have the honour to submit the Nineteenth Annual Report on the Births, Deaths, and Marriages registered in Northern Ireland, to­ gether with Abstracts of the particulars of such registrations. The Report relates to the year ended 31st December, 1940. The Abstracts have been prepared for presentation to Parliament, pursuant to the provisions of statutes governing the registration system. The Report draws attention to the salient features of the vital statistics contained in the Abstracts, and figures relating to previous years are included for purposes of comparison. Information is also given relating to vaccination, notifications of infectious diseases, and weather conditions, but migration statistics are not at present available. I beg to acknowledge the valuable assistance rendered by Dr. J. Boyd, Chief Medical Officer of the Ministry of Home Affairs, who advises this office in regard to medical matters. I also desire to record my appreciation of the courtesy shown by the Registrars- General of England and Wales, Scotland, and Eire, in furnishing information relating to the areas under their respective adminis­ trations.

I have the honour to be. Sir,

Your most obedient Servant, W. A. CARSON, Registrar-General of. Births, JJ>ea(hs, and Marriages for Northern Ireland. TABLE OF CONTENTS REPORT SUMMARY OF REGISTRATION Page DEATHS (continued). Page 1. Introductory 4 14. Deaths from the Principal 2. Marriages, Births, and Deaths Epidemic Diseases . . 9 registered . 15. Influenza .... 9 3. Vaccinations. 16. Tuberculosis . . . .10 17. Cancer . . . .12 4. Adoption of Children Act (N.I.) 18. 1929 .... Intra-cranial Vascular Lesions. 12 19. Heart Disease . . .12 MARRIAGES 20. Bronchitis . . . .12 5. Number and Rate . 21. Pneumonia . . . .12 6. Method of Celebration . 22. Pregnancy and Childbirth . 12 7. Signatures by " Mark " . 23. Violent Deaths . . .14 BIRTHS 2425. Uncertified Deaths . .15 8. Number and Rate . 26. Inquests . . . .16 9. Proportion of Males to Fe 27. Infant Mortality . . .16 Mortality among Illegitimate males 28. Children . . . .16 10. Multiple Births New International List of DEATHS Causes of Death and New 17 11. Number and Rate . Form of Medical Certificate 12. Deaths in Institutions . POPULATION 19 13. Proportion of Deaths from the Principal Causes THE WEATHER 19 ABSTRACTS Marriages registered in each of VIII. Population of Northern Ireland the Counties, showing Method by Sexes and Ages according of Celebration 22 to the Census of 1937 . 39 II. Marriages registered in each of IX. Deaths of Males and Females the Counties, showing the at different Age-Periods in number registered in each each of the Counties . 40 quarter of the year, the Civil Condition of the Persons X. Proportion of Deaths from married, and the number of Principal Causes at certain Minors . . . . 22 Age-Periods 41 III. Births in each of the Counties, XI. Deaths from Cancer by Sex, showing the number in each Age and Site, 1940 42 quarter of the year, disting­ XII. Infant Mortality Rates. 1935- uishing Males and Females 23 1940 .... 43 IV. Deaths in each of the Counties, XIII. Infant Mortality Rates for the showing the number in each Aggregates of Urban and quarter of the year, disting­ Rural Areas, 1935-1940 44 uishing Males and Females . 23 XIV. Mortality among Illegitimate V. Counties and Principal Towns Children, 1935-1940 . 45 (i) Deaths from Principal causes, (ii) Total Deaths and XV. Notifications of certain In­ Births, and other Statistics . 24 fectious Diseases, 1940 . 46 VI. Deaths by causes of Males and XVI. Northern Ireland, Belfast Co. Females at different Age- Borough and Londonderry Periods : 28 Co. Borough—Summary of VII. Deaths in Institutions, 1931- Vital Statistics for the vears - 1940 . ... 38 1938, 1939 and 1940 " . 47 NOTE—Owing to wartime pressure on staff and the necessity of conserving supplies^ of paper, this Report and that for 1939 have been reduced in length by the temporary omission of graphs and other diagrams and by adjustments in certain tables of minor importance. Readers desiring to see (in graphical form) the general trend of vital statistics during recent years are recom­ mended to consult the Annual Report for 1938 (H.C. 471). Certain tables formerly embodied in the text of the volume have been transferred to the Abstracts Section. Annual Report of the Registrar-General for Northern Ireland REPORT NOTE—A survey of the administrative functions of the office of the Registrar-General is contained in the Reports for 1939 and previous years.

SUMMARY OF REGISTRATION. 1. Introductory.—The figures contained in this Report may be regarded as final, and as superseding the provisional figures already pubUshed for the year 1940 in the Registrar-General's weekly and quarterly returns. The value of the statistical information concerning deaths con­ tained in the Registrar-General's Annual Reports and other pubHcations is to a large extent dependent on the degree of care and accuracy with which the members of the medical profession enter the required particulars on the form of medical certificate of the cause of death. The particulars so given are incorporated in the death entries, and thus in every case in which a person had been attended in his or her last illness by a medical practitioner, the medical certificate given by the latter forms the basis upon which the cause of death is classified. In the case of the death of a person who had not been medically attended in his or her last illness, and no inquest had been held, the cause of death is entered in the register from such information as the informant of the death can supply to the Registrar. (See section 24, page 15, as to uncertified deaths.) For the purpose of the Registrar-General's Annual Reports the classifications adopted are the Intermediate and Short Lists shown in the " Manual of the International List of Causes of Death, as adapted for use in England and Wales, Scotland, and Northern Ireland," pubUshed by H.M. Stationery Office. Abstract VI shows the deaths classified under the headings of the Intermediate List (slightly amplified in the case of tuberculosis and modified in the case of violent deaths), while the causes shown in Abstracts V and X and certain of the tables in the text, are in accordance with the Short List. The Detailed List numbers have also been given in Abstracts V and VI for purpose of reference. In general in the tables and abstracts, dots (.) are used to indicate " none," and dashes (—) are used to indicate that information cannot be given or that the headings are not applicable. Throughout the Report, births and deaths have been allocated to the district of normal residence, births having been assigned to the districts containing the normal residence of the parents, and deaths to the districts containing the normal residence of the deceased persons. 2. Marriages, Births, and Deaths Registered.—^The results of the year's registration show increases in the marriage, birth and death rates. The marriage rate is the highest recorded for Northern Ireland as a separate administrative unit. 3. Vaccinations.—As returned by the Registrars, the Successful Primary Vaccinations during the year numbered 18,178, or 72 per cent, of the total births registered, as compared with 76 per cent, in 1939. 4. Adoption of Children Act (N.I.), 1929.—A Register of Children adopted under the provisions of this Act is kept in the General Register Office, to which the Adoption Orders made by the Courts are communicated. A certified copy of an entry in this register is evidence of adoption, and is also evidence of the date of birth, if that date is recorded in the entry. The children whose adoptions were recorded in the Adopted Children Register during 1940 numbered 207, the figures for 1939 and 1938 being 164 and 217 respectively.

MARRIAGES. 5. Number and Rate.—Marriages registered during the year numbered 9,795, which is 610 more than the previous year. The rate, 7.56 per 1,000 of the estimated population, is 0.47 above that for the year 1939. With the exception of the year 1919, the number of marriages recorded is the highest since the beginning of the present century. 6. Method of Celebration.—Table C shows for Northern Ireland the marriages registered during the years 1922, 1932 and 1936 to 1940 according to methods of celebration. It will be observed that the increase in the number of marriages in 1940 is distributed over the various denominations, the more notable increases being in the Church of Ireland and Presbyterian marriages. Marriages taking place in Registrars' Offices in the year under review represented 6.9 per cent, of the total marriages, as compared with 4.8 per cent, in 1922. 7. Signatures by " Mark.**—Of the 19,590 persons married 51 men and 33 women, or 0.4 per cent, of the persons married, signed the registers or certificates by " mark," as compared with 2.1 per cent, in 1922. TABLE A.—^Northern Ireland: Population, Marriages, Births, and Deaths, 1931-1940, with Quinquennial Averages from year 1901.

Deaths of Estimated Births, Infants YEAR mid-year Marriages including Illegitimate Deaths under 1 year Peculation Illegitimates Births of Age

1901-05 1^39,000 7,452 31,147 1,186 23J41 3,378 1906-10 1,245,000 7,341 30,763 1,214 22,955 3,219

1911-15 1,238,000 7,535 29,675 1,296 21,929 3,030 1916-20 1,227,000 8,250 27,560 1,258 22,128 2,620

1921-25 1,260,000 7.873 29,104 1,248 19,594 2,392

1926-30 1,246,000 7,328 26,418 1,249 18,403 2,083 1931 1,243,000 7,369 25,673 1,275 18,049 1,885 1932 1,251,000 6,959 25,107 1,268 17,812 2,084 1933 1,258,000 7,630 24,601 1,237 18,154 1,960 1934 1,265,000 8,230 25,365 1,309 17,521 1,767 1935 1,271,000 8,844 24,742 1,207 18,592 2,136

1931-35 1,258,000 7,806 25,098 ia59 18,026 1,966 1936 1,276,000 9,144 25,909 1,199 18,429 1,992 1937 1,281,000 8,623 25,412 1,183 19,282 1,969 1938 1,286,000 8,617 25,742 1,150 17,649 1,933 1939 1,295,000 9,185 25,240 1,187 17,542 1,779 1940 1,296,000 9,795 23,363 1,169 18,941 2,179

1936-40 1,287,000 9,073 25,533 1,178 18,369 1,970

TABLE B.—Northern Ireland : Annual Marriage, Birth, and Death Rates, and Deaths of Infants under 1 year per 1,000 births, 1931-1940, with Quinquennial Averages from year 1901.

Illegitimate Deaths of Rates per 1,000 of Estimated Population Births Infants under YEAR Per cent. 1 year of Age of Total per 1,000 Deaths Marriages Births Births Births

1901-05 6.01 25.1 18.8 3.81 108

1906-10 5.90 24.7 18.4 3.95 105 1911-15 6.OS 24.0 17.7 4.37 1G2

1916-20 6.72 22.5 18.0 4.56 95

1921-25 6.25 23.1 15.6 4.29 82

1926-30 5.88 21.2 14.8 4.73 79 1931 5.93 20.7 14.5 4.97 73 1932 5.56 20.1 14.2 5.05 83 1933 6.07 19.6 14.4 5.03 80 1934 6.51 20.1 13.9 5.16 70 1935 6.96 19.5 14.6 4.88 86

1931-35 6.21 20.0 14.3 5.02 78 1936 7.17 20.3 14.4 4.63 77 1937 6.73 19.8 15.1 4.66 77 1938 6.70 20.0 13.7 4.47 75 1939 7.09 19.5 13.5 4.70 70 1940 7.56 19.6 14.6 4.61 86 1936-40 7.05 19.8 14.3 4.61 77 TABLE C.—Northern Ireland : Marriages Registered, ac­ cording to Methods of Celebration, 1922,1932,1936-40.

Total Marriage In In Total Rate per Church Regis­ Regis­ Society Marriages 1,000 of YEAR of Presby­ Roman tered trars' of Jews Roistered Estimated Ireland terian Catholic Buildings Offices Friends Population

1922 2,503 2,458 2,267 445 389 5 5 8,072 6.36 1932 2.027 1,947 1,964 491 524 2 4 6,959 5.56 1936 2,586 2,662 2,566 644 678 3 5 9,144 7.17 1937 2,426 2,473 2,396 670 647 3 8 8,623 6.73 1938 2,377 2,534 2,422 645 631 6 2 8,617 6.70 1939 2.545 2.822 2.465 707 639 4 3 9,185 7.09 1940 2,729 2,990 2,554 836 678 5 3 9,795 7.56

BIRTHS. 8. Number and Rate.—The births registered during the year numbered 25,363, an increase of 123 as compared with the previous year. The birth rate was 19.6 per 1,000 of the estimated population, being 0.1 above the rate for the previous year. Illegitimate births numbered 1,169, a decrease of 18 as compared with the number recorded for 1939 ; the proportion to total births (4.61 per cent.) being slightly below that for the previous year. In England and Wales, Scotland and Eire, the illegitimate births as percentages of the total births were 4.26, 5.89 and 3.22 respectively for the year 1940. 9. Proportion of Males to Females.—The proporticm of male births to every 1,000 female births in 1940 was 1,082* This is the highest proportion recorded for Northern Ireland as a separate administrative unit. A high proportion of male to female births has been a common experience in times of war. The corresponding proportions for each of the years 1935-39 were 1,068, 1,051, 1,049, 1,052 and 1,044 respectively.

TABLE D.—Northern Ireland : County and Urban and Rural Birth and Death Rates, 1938-40.

Births per 1,000 of Deaths per 1,000 of Population* Population* AREA 1938 1939 1940 1938 1939 1940 Northern Ireland 20.0 19.5 19.6 13.7 13.5 14.6

Belfast Co. Borough 20.8 20.2 19.6 13.8 13.0 14.8 Londonderry Co. Borough .. 26.4 26.1 26.6 13.6 13.2 16.1 County Antrim 18.9 18.7 18.9 12.9 13.3 13.9 County Armagh 20.0 19.8 20.1 14.1 14.5 15.7 County Down 18.0 17.5 17.9 13.2 13.8 14.5 County Fermanagh 17.9 17.3 17.0 14.6 13.7 14.7 County Londonderryt 21.3 21.3 21.8 15.0 14.8 14.6 County Tyrone 20.7 19.9 21.1 14.4 14.8 14.8

Aggregate of Urban Areas .. 21.1 20.7 20.4 13.6 13.3 15.0 Aggregate of Rural Areas 19.0 18.6 19.2 14.0 14.2 14.6

• Acostling to Census of 1937, except for Northern Ireland, where the estimated population at the middle of each year has been used, and for Belfast County Borough, where the estimated population at the beginning of each year has been used. f Excluding the County Borough. 8 10. Multiple Births.—Of the 25,363 children whose births were registered during the year, 24,777 were bom singly, 562 children were twins, and 24 children were triplets. Still-births not being registered in Northern Ireland, a birth of one live child and one still-bom child is regarded as a single birth, a birth of two live children and one still-born child as a twin birth, and so on.

DEATHS. 11. Number and Rate.—The deaths registered during the year numbered 18,941, an increase of 1,399, as compared with the previous year. The death rate was 14.6 per 1,000 of the estimated population, being 1.1 above the rate for 1939. Probably this increase in the number of deaths was due to the initial shock of wartime conditions, e.g., the black-out (with its accompaniment of bad ventilation), longer working hours, etc., and to the effect of the 1939-40 winter, which was one of unusual severity (vide Table M on Meteorology). Further, the death rate in 1939 was the lowest recorded since Northern Ireland became a separate unit. Of the total deaths, 9,565 were of males and 9,376 were of females, the equivalent annual death rates being 15.2 and 14.1 per 1,000 of the male and female estimated populations respectively. 12. Deaths in Institutions.—The numbers of deaths occurring in institutions in each of the years''1931-40 are shown in Abstract VII. 29.5 per cent, of the deaths registered in 1940 took place in institu­ tions (2.6 per cent, in pubHc mental hospitals, 11.8 per cent, in poor law institutions, 5.5 per cent, in district hospitals, and 9.6 per cent, in other hospitals and infirmaries), and the remaining 70.5 per cent, occurred in the deceased person's own home, in private nursing homes, or in places other than the institutions already described. The percentage of deaths taking place in institutions has risen from 17.0 in 1924 to 29.5 in 1940. 13. Proportion of Deaths from the Principal Causes.— Abstract X shows the deaths from the principal causes as pro­ portions per 1,000 of the total deaths in certain age groups. It will be seen from this abstract that, for all ages taken together, heart disease bears the greatest proportion to the total deaths, which is the usual experience ; and that the deaths from this cause occur mainly among persons of fairly advanced ages. The proportions were high also for cancer, intra-cranial vascular lesions, tuberculosis, bron­ chitis and pneumonia. At ages under one year, apart from congenital malformations, etc., and premature birth, the highest proportions of deaths were caused by diarrhoea, pneumonia, bronchitis and whooping cough. Between the ages of one and ten the highest proportions were caused by the common infectious diseases, tuberculosis (the deaths from which are mainly due to tuberculosis of the central nervous system), pneumonia, violence and diseases of the digestive system. It is noteworthy that deaths from violent causes are frequent at these ages, and particularly at the ages between five and ten, most of such deaths being due to burns, scalds, and motor accidents. Between the ages of ten and thirty-five, tuberculosis (principally of the respiratory system) caused by far the largest proportion of deaths. From age thirty-five onwards, heart disease, cancer, intra­ cranial vascular lesions, tuberculosis, diseases of the digestive and circulatory systems, bronchitis, pneumonia and nephritis were responsible for the largest proportions of the total mortality. Table E shows for each of the principal causes the numbers of deaths and the death rates for each year since 1937, together with corresponding particulars for Eire in respect of the year 1940. For purposes of comparability in Table E the figures in respect of maternal mortality and also deaths due to syphilis and to road traffic accidents (for the years 1937, 1938 and 1939) have been regrouped in accordance with the new International List of Causes of Death, Similarly, the Short List in use prior to 1940 has been made to conform to the one adopted in that year.

14. Deaths from the Principal Epidemic Diseases.—With the exception of scarlet fever, the numbers of deaths from diseases in this group show increases when compared with the figures for the previous year. The increases were most marked in connection with measles (due to an epidemic in Belfast during the first quarter of the year), whooping-cough and diphtheria. To a lesser extent there were increases in the numbers of deaths from typhoid and paratyphoid fevers, influenza, and diarrhoeal diseases of children under two years of age. In addition the number of deaths from Cerebro-spinal fever increased from 17 in 1939 to 58 in the year under review. The notifications of certain infectious diseases for each District in Northern Ireland for the year 1940 are shown in Abstract XV.

15. Influenza.—The deaths from influenza during the year numbered 665, giving a rate of 0.51 per 1,000 of the population, com­ pared with a rate of 0.31 for the year 1939. As is usually the case, mortality was highest from this disease in the first quarter of the year. 10 TABLE E.—Northern Ireland : Number of Deaths from the Principal Causes, with Death Rates per 100,000 of Estimated Population, and Number and Percentage of Uncertified Deaths, 1937-40.

Detailed Number of Deaths ,, Eire Rate per 100,000 popltn. Eire List CAUSES OF DEATH Nos. 1937 1938 1939 1940 1 1940 1937 1938 1939 1940 1940 1,2 Typhoid and paratyphoid fevers 26 7 6 10 31 2.0 0.5 0.5 0.8 1.0 6 Cerebro-spinal fever 13 12 17 58 23 1.0 0.9 1.3 4.5 0.8 8 Scarlet fever 32 49 39 27 33 2.5 3.8 3.0 2.1 1.1 9 Whooping cough 146 110 68 141 163 11.4 8.6 5.3 10.9 5.5 10 Diphtheria 69 76 70 127 ;| 178 5.4 5.9 5.4 9.8 6.0 13 Tuberculosis of respiratory system 972 869 852 967 i 2,907 75.9 67.6 65.8 74.6 98.3 14-22 Other forms of tuberculosis 279 309 238 299 '\ 778 21.8 24.0 18.4 23.1 26.3 30 Syphilitic diseasef 76 59 62 64 56 5.9 4.6 4.8 4.9 1.9 33 Influenza 1,148 258 401 665 828 89.6 20.1 31.0 51.3 28.0 35 Measles 28 308 16 193 77 2.2 23.9 1.2 14.9 2.6 36 Acute Poliomyelitis and polioencephalitis 5 2 3 4 i 12 0.4 0.2 0.2 0.3 0.4 37 Acute infectious encephalitis 51 39 25 32 1 23 4.0 3.0 1.9 2.5 0.8 45-55 Cancer and other malignant tumours 1,668 1,700 1,721 1,764 3,773 130.2 132.2 132.9 136.1 127.6 61 Diabetes 147 166 167 158 i 284 11.5 12.9 12.9 12.2 9.6 83 Tntra-cranial vascular lesions 1,396 1,357 1,363 1,544 1 2,687 109.0 105.5 105.3 119.1 90.8 90-95 Heart disease 3,700 3,618 3,757 3,950 8,908 288.8 281.3 290.0 304.8 301.1 96-103 Other diseases of the circu­ latory system 561 636 708 337 755 43.8 49.5 54.7 26.0 25.5 106 Bronchitis 860 650 720 942 2,011 67.1 50.5 55.6 72.7 68.0 107-109 Pneumonia 1,087 1,026 798 873 11,861 84.9 79.8 61.6 67.4 62.9 104, 105 \ Other respiratory diseases 296 224 237 296 678 23.1 17.4 18.3 22.8 22.9 110-114 / 117 Ulceration of the stomach or duodenum 162 144 151 164 1 372 12.6 11.2 11.7 12.7 12.6 119 Diarrhoea (under 2 years of age) 267 226 277 387 1 598 20.8 17.6 21.4 29.9 20.2 121 Appendicitis 92 85 81 72 190 7.2 6.6 6.3 5.6 6.4 115,116) 118,120- Other digestive diseases 468 483 481 427 981 36.5 37.5 37.1 32.9 33.2 122-129 I 130-132 Nephritis 448 410 405 473 1,183 35.0 31.9 31.3 36.5 40.0 140,147 Puerperal and post-abortive i sepsist 38 42 24 34 ! 55 3.0 3.3 1.9 2.6 1.9 141-146 •) Other maternal causest .. 89 95 72 73 i 153 6.9 7.4 5.6 5.6 5.2 148-150 J 434 376 442 604 159 Premature birth 399 33.9 31.0 29.0 34.1 20.4 157, ISSI Congenital malformations. 160, 161 j birth injury, infantile disease 603 594 549 609 1,327 47.1 46.2 42.4 47.0 44.9 163,164 Suicide 67 54 67 60 99 5.2 4.2 5.2 4.6 3.3 170. 171 Road traffic accidentsf .. 143 122 165 170 210 11.2 9.5 12.7 13.1 7.1 165-169 \ Other violent causes* 396 354 360 461 758 30.9 27.5 27.8 35.5 25.6 172-198 J AU other causes 3,515 3,166 3,266 3,118 9,289 274.4 246.2 252.1 240.6 314.0

ALL CAUSES 19,282 17,649 17,542 18,941 41,885 1505.2 1372.3 1354.6 1461.5 1416.0 1 Number and percentage of uncertified deaths 1,223 951 930 984 6,272 6.3 5.4 5.3 5.2 15.0

t The deaths and rates for these causes for 1937, 1938 and 1939 have been regrouped in this Table in accordance with the International List used from 1940. • Including accidents. 16. Tuberculosis.—The death rate from this cause of 0.98 per 1,000 of the population is 0.14 above the rate for 1939. Thus the previous downward trend of the death rate from tuberculosis is interrupted. In the year 1915 (which was like 1940, the second year affected by a widespread war) a rise in this death rate was also recorded. The crude death rate in Northern Ireland from this disease in 1940, whilst lower than that for Eire, is still higher than the corresponding rates for England and Wales, and for Scotland. 11 From Abstract X it will be seen that tuberculous diseases have caused 428 deaths in every 1,000 between the ages of 15 and 25, and 372 per 1,000 between 25 and 35. Further, from Abstract VI it appears that almost one-half of the deaths from all forms of tuberculous disease during 1940 occurred between the ages of 15 and 35. Tuberculosis is in general much more prevalent in the cities and towns than in the country districts. In 1940 the rate per 1,000 of the population for all urban areas was 1.11 and for rural areas 0.85. The rates in 1939 were 0.97 and 0.72, respectively. Tuberculosis of the respiratory system accounted for 76 per cent, of the total deaths from tuberculosis, as compared with 78 per cent, in 1939.

TABLE F.—Northern Ireland : Deaths and Death Rates from Tuberculosis (All Forms), 1922, 1932, 1936-40.

MALES FEMALES TOTAL

Rate per Rate per Rate per YEAR Number 1,000 of the Number 1,000 of the Number 1,000 of the of estimated of estimated of estimated Deaths Male Deaths FemaJe Deaths population population population

1922 .. 970 1.57 1,137 1.75 2,107 1.78 1932 .. 689 1.14 726 1.13 1,415 1.13 1936 .. 637 1.03 678 1.04 1,315 1.03 1937 .. 627 1.00 624 C.95 1,251 0.98 1938 .. 595 0.95 583 , 0.88 1,178 0.92 1939 .. 529 0.84 561 0.84 1,090 0.84 1940 .. 658 1.04 608 0.91 1,266 0.98

TABLE G.—Northern Ireland : Death Rates per 1,000 of the Population from Tuberculosis (All Forms) by Counties, 1922, 1932, 1936-40.

• Londonderry County Belfast YEAR Antrim Armagh County Down Fermanagh and Tyrone Borough County Borough

1922 1.87 1.99 1.67 1.79 1.43 1.41 1.38 1932 0.99 1.17 1.27 1.05 0.86 0.90 1.09 1936 0.72 1.08 1.14 1.09 1.28 0.94 0.96 1937 0.81 1.14 1.16 0.85 1.03 0.74 0.92 1938 0.70 1.08 1.03 0.83 0.90 0.91 0.89 1939 0.71 0.74 0.98 0.84 0.68 0.84 0.78 1940 0.65 1.09 1.14 0.99 0.71 1.02 0.94

NOTE—The rates shown above for the year 1922 are based on the 1926 Census populations.

The abstracts of causes of death give particularfs regarding the sexes and ages of the persons who died from the various forms of tuberculous disease during the year, and afeo-tiro! deaths from tuberculosis allocated to each county a^-d-^ each of the principal 12 towns in Northern Ireland. Table F affords comparison of the summarised figures for 1940 with those for certain preceding years. Table G shows comparisons of the summarised figures for each of the six counties of Northern Ireland and Belfast County Borough. 17. Cancer.—The number of deaths from cancer in Northern Ireland during 1940 was 1,764, giving a crude death rate of 1.36 per 1,000 of the population, which is 0.03 above the rate for 1939. The general tendency over a number of years has been for this rate to show a more or less steady increase. The death rates from cancer among males and females in 1940 were 1.34 and 1.38 per 1,000 respectively ; the male rate thus being 97 per cent, of the female rate, as against 99 per cent, in 1939. The most frequent sites of fatal cancer among males during the year were stomach, 238 ; intestines. 111; rectum, 76 ; prostate, 59; lung, 40 ; and liver and gall-bladder, 39. Among females the most frequent sites were stomach, 185; breast, 152; intestines, 118; uterus, 115 ; liver and gall-bladder, 53 ; and rectum, 47. Abstract XI gives particulars regarding sex, age and sites of fatal cancer during the year 1940. 18. Intra-cranial Vascular Lesions.—The deaths assigned to this heading numbered 1,544, giving a rate of 1.19 per 1,000 of the population. This rate is 0.14 above that for 1939. 19. Heart Disease .-^The deaths from the various forms of heart disease during the year numbered 3,950, the rate per 1,000 of the population being 3.05, which is 0.15 above that for the previous year. The death rate from this disease has been more or less steadily increasing over a number of years. As in the case of cancer, this may be partly accounted for by the increasing average age of the population of Northern Ireland, and by the diminishing number of deaths from causes not medically certified. • 20. Bronchitis.—The deaths from bronchitis during the year numbered 942, giving a rate of 0.73 per 1,000 of the population, which is 0.17 above the rate for 1939. 21. Pneumonia.—There were 873 deaths from pneumonia during 1940, the rate per 1,000 of the population being 0.67, com­ pared with a rate of 0.62 per 1,000 in 1939. 22. Pregnancy and Childbirth.—The mortality of women during pregnancy and childbirth is classified under two headings, namely—(1) diseases of pregnancy, childbirth and the puerperal state, and (2) diseases or causes combined with pregnancy and childbirth. The causes of death shown in Table H are those to which the various deaths were assigned. 13 TABLE H.—Nortliern Ireland: Deaths of Women in Pregnancy and Childbirth, 1940.

Detailed Ages List Causes of Death All Nos. Ages 15- 20- 2^ 30- 35- 40- 45 yrs. and up

DISEASES OF PREGNANCY, CHILD­ BIRTH AND THE PUERPERAL STATE : 140 Post-abortive infection 9 1 2 2 3 1 141 Abortion without mention of septic conditions .. 3 2 1 142 Ectopic gestation 143 Haemorrhage of pregnancy 144 Toxaemias of pregancy 16 4 5 3 145 Other diseases and accidents of i i i i pregnancy .. 146 Haemorrhage of childbirth and the puerperium 21 2 4 4 10 1 147 Infection dming childbirth and the puerperium 25 2 3 2 7 7 3 1 14S Puerperal toxaemias 7 1 2 2 1 1 149 Other accidents of childbirth 24 1 4 5 6 5 2 150 Other or unspecified conditions of i childbirth and the puerperal state 2 2 *

DISEASES OR CAUSES COMBINED WITH PREGNANCY AND CHILDBIRTH: 13 Tuberculosis of the respiratory system 5 1 2 1 1 33A Influenza with respiratory compli- plications .. 1 1 73 Anaemias 3 2 92 Chronic affections of the valves and i endocardium 2 1 1 93 Diseases of the myocardium 1 1 99 Other diseases of the arteries 1 1 102 High blood pressure (idiopathic) 1 106 Bronchitis 2 i 107 Broncho-pneumonia 1 ; 108 Lobar pneumonia 2 2i 117A Ulcer of the stomach .. 1 120 Enteritis and diarrhoea 1 i 130 Acute nephritis 1 i 131 Chronic nephritis 1 i 132 Nephritis not stated to be acute or i chronic 1 1

TOTAL 131 1 7 11 24 29 40 15 5 From Table J it will be seen that the deaths from diseases of pregnancy, childbirth and the puerperal state in 1940 yielded a rate of 4.22 per 1,000 births,which is an increase of 0.42 as compared with the rate for 1939. In the 1938 revision of the International List of Causes of Death (described in section 28 below) the diseases of pregnancy, childbirth and the puerperal state were regrouped. One result of this regrouping is that the number of deaths assigned to Puerperal and post-abortive sepsis is slightly higher than would otherwise have been the case. There is of course a corre­ sponding drop in the number of deaths classified to Other Mater­ nal Causes. Accordingly, the figures under these headings in Table J for 1940 are not strictly comparable with those for preceding years. It should be noted, however, that in Table E these figures (i.e., those for Puerperal and post-abortive sepsis and Other maternal causes) for the years 1937-39 have been regrouped in the manner prescribed in the 1938 revision. The rate for diseases combined with pregnancy and childbirth decreased from 1.27 in 1939 to 0.95 in the year under review. 14 TABLE J.—Northern Ireland : Deaths of Women in Pregnancy and Childbirth, 1922, 1932, 1936-40.

Deaths from Diseases of Pregnancy, Childbirth and the Puerperal State (classed as Childbirth). Deaths from Diseases or Causes combined with Pregnancy and Puerperal and Post- Other Maternal Total Puerperal Childbirth (not Abortive Sepsis Causes Diseases classed as Childbirth) YEAR Rate Rate Rate Rate No. per 1,000 No. per 1,000 No. per 1,000 No. per 1,000 Births Births Births Births 1922 56 1.90 83 2.81 139 4.71 34 1.15 1932 39 1.55 95 3.78 134 5.34 26 1.04 1936 58 2.24 99 3.82 157 6.06 32 1.24 1937 31 1.22 96 3.78 127 5.00 37 1.46 1938 31 1.20 106 4.12 137 5.32 33 1.28 1939 20 0.79 76 3.01 96 3.80 32 1.27 1940 34 1.34 73 2.88 107 4.22 24 0.95

TABLE K.—Northern Ireland : Deaths of Women in Preg­ nancy* and Childbirth in Urban and Rural Areas and in the two County Boroughs for 1940, and (in italics) for the average of the three years 1937-1939.

Death Rate Total Deaths per 1,000 Births

AREA Total Puerperal Puerperal Other Total and Post- Births and Post- Other Total Maternal Puerperal Abortive Maternal Puerperal Abortive Diseases Sepsis Causes Sepsis Causes Diseases

NORTHERN f 34 73 107 25,363 1.34 2.88 4.22 IRELAND \ 35 85 120 25M5 1.37 3.33 4.71 18 33 51 13,851 1.30 2.38 3.68 ALL URBAN AREAS i 20 46 66 14,229 1.40 3.23 4.63 16 40 56 11,512 1.39 3.47 4.86 ALL RURAL AREAS < 15 39 54 11,236 1.33 3.47 4.80 10 21 31 8,704 Belfast Co. Borough( 1.15 2.41 3-. 56 14 30 44 9,087 1.54 3.30 4.84 Londonderry Co. f 3 3 1,274 2.35 2.35 Borough I. i 2 3 1,246 0.80 1.60 2.40

Table K shows the number of deaths from puerperal diseases, distinguishing puerperal and post-abortive sepsis, with corresponding rates for the aggregates of the Urban and Rural Areas and the County Boroughs in Northern Ireland for the year 1940 and for the average of the years 1937 to 1939. From this it will be seen that the rates for all puerperal diseases show an improvement on the average annual rates for the preceding three years. 23. Violent Deaths.—The number of deaths ascribed to violence during the year was 691 (487 males and 204 females), which is an increase of 99 on the number registered for 1939, and is equiva­ lent to 3.6 per cent, of the total deaths registered. Of these 691 deaths, 5 were attributed to homicide, 60 to suicide, and 544 to accidental causes. 15 Included in the 45 deaths from drowning, shown in Table L, there were 15 cases (10 males and 5 females) in which the Coroners returned a verdict of " found drowned." It is possible that some of these deaths were due to suicide. Of the 70 deaths from bums and scalds, 31 were of children under 5 years of age.

TABLE L.—Northern Ireland: Violent Deaths, 1938-40.

1938 1939 1940 CAUSES OF DEATH (with Detailed List Nos.) Total Males Females Total Males Females Total Males Females

Homicide. Infanticide (165) 7 3 4 1 1 2 2 Manslaughter (in 166- 168) 3 2 1 3 3 Murder (in 166-168) .. 2 1 3 2 Justifiable Homicide i i (in 166-168) Suicide (163, 164) 54 43 11 67 50 17 60 42 18 Atcidental Causes. Bums and Scalds (181) 64 26 38 59 32 27 70 35 35 Drownins (183) 27 23 4 27 23 4 45 33 12 Fall (in 186) 158 72 86 145 69 76 140 65 75 Firearms (184) 2 2 7 7 10 9 1 Mechanical Suffocation (182) .. 9 6 3 It 7 4 16 10 6 Poison and Poisonous Gases (177-179) .. 14 9 5 18 13 5 14 10 4 Vehicles— Motor (170) 101 76 25 126 93 33 152 117 35 Other (171) 21 15 6 39 31 8 18 17 1 Other Accidental Causes 52 38 14 60 40 20 79 63 16 ether Violent Deaths. (196-198).. 18 13 5 27 21 6 82* 82

TOTAL DEATHS FROM VIOLENCE 530 328 202 592 391 201 691 487 204

• This figure includes the deaths of 67 members of the Armed Forces. In subsequent Annual Reports the deaths of non-civilians will be omitted.

24. Uncertified Deaths.—^The deaths registered as uncertified, i.e., those in which there was neither a medical attendant during the last illness nor an inquest held by a coroner, numbered 984, representing 5.2 per cent, of the total deaths registered. The percentage of uncertified deaths has been falHng more or less steadily during the past twenty years, the figure for 1940 being the lowest on record. In 1922 uncertified deaths represented 12.7 per cent, of the total deaths. Of the total uncertified deaths, 75.9 per cent, occurred in rural areas and 24.1 per cent, in urban areas. Deaths of persons aged 65 years and upwards represented 70.7 per cent, of the uncertified cases, and deaths of infants under 1 year of age 11.5 per cent. 16 2 5. Inquests.—The circumstances of 1,098 deaths were considered by the coroners in 1940. Inquests were held in 657 of these cases, which represents one inquest for every 29 deaths registered. In 1939 the inquests numbered 530. 26. Infant Mortality.—Deaths of infants under 1 year of age numbered 2,179, or 86 per 1,000 births registered, as compared with 70 per 1,000 in 1939. Of the 2,179 deaths of infants under 1 year of age, 1,250 were of males and 929 of females, the former number being equivalent to 95 per 1,000 births of males and the latter to 76 per 1,000 births of females. The corresponding rates for 1939 were 81 and 60 respect­ ively. The infant mortality rate for the aggregate of the Urban Districts of Northern Ireland in 1940 was 106 per 1,000 births, and the rate for the aggregate of the Rural Districts was 62 per 1,000, the corres­ ponding rates for 1939 being 80 and 58 respectively. In 1940 and 1939 the rates for deaths of infants under 1 year of age were 56 and 50 per 1,000 births, respectively, for England and Wales ; 78 and 68 for Scotland ; and 66 and 66 for Eire. Abstract XII gives the infant mortality rates for Northern Ireland for each of the six years 1935-40, by causes of death, and, for the last of these years, by sexes and age-periods. Apart from comparatively small annual variations, the infant mortality rate in Northern Ireland has exhibited a downward tendency since 1901. Abstract XIII compares the infant mortahty rates for the aggregate of the urban areas with those for the aggregate of the rural areas of Northern Ireland. The differences usually found between urban and rural rates and between male and female rates are marked, the urban rates being, in general, appreciably in excess of the cor­ responding rural rates. The infant mortality rate for Belfast County Borough for 1940 was 122. The corresponding rates for each of the years 1935 to 1939 were 112, 101, 94, 96 and 85 respectively. Abstract V gives the number of infant deaths, together with the number of births, for each County and for each of the principal towiiS in Northern Ireland. Figures for the aggregates of Urban and Rural areas are also given. 27. Mortality among Illegitimate Children.—Deaths of illegitimate children under 1 year of age numbered 195 in 1940, which is equivalent to a rate of 167 per 1,000 of the illegitimate births registered, as compared with a rate of 131 for the previous year. The corresponding rates for legitimate children in 1940 and 1939 were 82 and 68 oer 1.000 respectively. 17 Abstract XIV shows the deaths of illegitimate children by the principal causes and for age-periods in 1940, together with the mortality rates among illegitimate children for each of the years 1935-40. Most of these rates are considerably in excess of the corresponding rates for aU children ; particularly the rates for diarrhoea and enteritis, premature birth and injury at birth, con­ genital debility, etc., and inattention at birth. It should, however, be noted that the rates for some of the causes are based on very small numbers of deaths, 28. New International List of Causes of Deatli and New Form of Medical Certificate.—For the purpose of the Registrar- General's Annual Reports, the classification of deaths by causes is made according to the " Manual of the International List of Causes of Death, as adapted for use in England and Wales, Scotland, and Northern Ireland," published by H.M. Stationery Office. The International List was revised at a Conference held at Paris in 1938, which recommended the adoption of the revised List as from the year 1940, and it was decided to give effect to this recommendation in Northern Ireland, as in other parts of the United Kingdom. The previous revision had been carried out in 1929, and the resulting Lists as adapted for use in the United Kingdom brought into operation from 1931. The changes introduced by the 1938 revision, to which effect is given in this Report for 1940, are not of an extensive character. The epidemic diseases have been re-grouped according to the nature of the infecting organism. Locomotor ataxia (tabes dorsaHs) and general paralysis of the insane (formerly grouped with diseases of the nervous system) and aneurysm of aorta (formerly grouped with diseases of the circulatory system but not distinguished from other aneurysms) are now grouped with syphilis, among diseases due to spirochaetes. In the section dealing with pregnancy, childbirth and the puerperal state, certain adjustments have been made and further sub-divisions introduced. As a result of past experience there have been adjust­ ments in the section deaHng with violent and accidental deaths, the latter being allocated to a greater extent than before to the means of violence. In addition, a number of minor changes have been made throughout the List. Another important change affecting the classification of causes of death was made for Northern Ireland with the year 1940. The causes of death appearing in the entries from which the classification is made are those stated in the certificate given by the medical practitioner who had been in attendance during the last illness, and in approximately one-third of the cases two or more causes are shown on the medical certificates. In 1922 Northern Ireland adopted the rules which had been in force in England and Wales, without material alteration, from 1901 for the selection of a single cause to which to 18 classify the death in such cases. The chief principle of these rules was that preference should be given to the cause which was the more Ukely to cause death ; or, in other words, that which had the higher case mortality. There were in order of preference four main groups : violence; infectious, parasitic and general diseases ; local diseases ; and ill-defined conditions. Within these groups were numerous sub­ groups, and there were many rules applying in particular cases. There had, however, been a growing volume of opinion in favour of relaxing the rigidity of these rules of selection and the more general acceptance of the opinion of the certifying medical practitioner as to which disease, out of two or more from which a person may have suffered, was the actual cause of death. As a first step in this direction a new form of medical certificate was adopted in England and Wales at 1st July, 1927. Space I of this form provides for a statement of the immediate cause of death and of the cause or senes of causes which gave rise to the immediate cause. Space II provides for the insertion of any other morbid conditions which may have contributed to death, but which were not related to the immediate cause. The certifying practitioner is thus invited, more definitely than before, to express his own opinion as to the actual cause of death where more than one disease had been present. The normal procedure in view was to classify the death as due to the disease stated in Space I of the certificate as commencing the train of events eventually result­ ing in death. This was adopted as the normal method of tabulation in England and Wales, commencing with the year 1940, and it was decided to adopt the new method in Northern Ireland as from the same date. It was necessary in Northern Ireland, in order to make the new method of tabulation possible, to prescribe a new form of medical certificate of the cause of death, and after consultation between the Registrar-General and the medical bodies in Northern Ireland, a new form, identical in essentials with that which had been found satisfactory in England and Wales, was introduced at 1st January, 1940. The duration of illness, for the inclusion of which the medical certificate and the form of death entry formerly provided, was thenceforth omitted from both, and the age of the deceased was also omitted from the new form of certificate, the informant of the death being responsible for stating it to the Registrar. In the tabulation of deaths in England and Wales, it was found to be desirable, for various reasons, to modify in some cases the normal classification procedure described above where mora than one cause of death is mentioned on the medical certificate, and these modi­ fications have been adopted in Northern Ireland. The categories affected are set out in pages XXXVI to XLI of the Manual of the International List, and constitute a small proportion of the whole. Whilst it is true that the developments in regard to the classi­ fication of causes of death briefly described above affect, in some 19 degree, the comparability of death statistics for Northern Ireland from 1940 onwards with those for preceding years, it must be re­ membered that it is of the greatest importance to maintain the comparability of the Northern Ireland statistics with those for the other parts of the United Kingdom, and that such developments are unavoidable owing to the advance of medical science.

POPULATION. The estimated population of Northern Ireland in the middle of 1940 was 1,296,000, and the rates in this Report (relating to 1940) for the country as a whole have been based on this estimate. As regards divisions of the country, no estimates have been made, the 1937 Census figures being used for all rates shown for these areas, except for Belfast County Borough, in which case an estimate of the population as at the beginning of 1940 has been used. This estimate is 444,500. THE WEATHER. Reports on the weather experienced in Northern Ireland during each month of the year 1940, as furnished by the Director of the Meteorological Office, England, are published in the Quarterly Returns of Births, Deaths, and Marriages for that year. Table M shows for the inland stations of Armagh and Aldergrove, and the coastal station of , the Average Air Temperature, Rain­ fall, and Sunshine in 1940. 20 TABLE M.—Northern Ireland : Air Temperature, Rainfall, and Sunshine obtained from Readings taken at the Stations of Armagh, Donaghadee and Alder grove, 1940.

ARMAGH.

Air Temperature. Rainfall. Sunshine.

ileansof Differ­ Percent­ Differ­ MONTH ence of age No. ence of Highest Lowest Daily Daily Daily Mean Total of of Daily Daily Maxi­ Mini­ Mean from Aver­ Days Mean Mean mum mum Average age from Average "F "F «F »F op °F mm. % his. hrs. January . 52 16 39.7 29.8 34.7 —5.9 77 120 8 1.82 +0.35 Februaiy . 58 19 45.0 36.0 40.5 —0.2 71 125 16 1.34 —0.94 March 61 24 50.5 36.9 43.7 + 1.6 98 164 19 3.04 —0.44 Apra 62 30 54.9 41.2 48.1 -f-2.8 74 139 21 3.60 —1.41 May 69 36 61.8 44.9 53.3 + 2.2 23 39 13 5.43 + 0.08 Jtme 83 41 70.5 49.9 60.2 + 4.5 40 62 13 8.53 + 2.95 July 70 43 64.6 49.2 56.9 —2.0 134 182 26 3.93 —0.75 August 79 45 67.5 51.3 59.4 + 1.3 13 15 13 3.73 —0.59 September 72 35 61.5 45.9 53.7 —0.6 66 106 18 3.60 —0.32 October . 59 30 54.4 43.8 49.1 +0.2 111 160 17 1.91 —0.89 November. 59 28 49.8 38.1 43.9 + 1.0 72 99 19 2.38 + 0.24 December. 54 22 44.8 34.1 39.5 —1.3 90 114 23 0.85 —0.41 Year 194 0 83 16 55.4 41.8 48.6 + 0.3 868 107 206 3.36 —0.17

DC )NAGHADEE.*

op •F. "F. •F. "F. •F, mm. % hts. brs. January . 50 21 41.9 32.6 37.3 —3.6 115 178 14 1.80 — February 51 27 44.4 37.0 40.7 —0.4 53 90 18 1.23 — March 55 30 48.1 37.9 43.0 + 1.4 107 191 21 3.21 — April 58 32 50.9 40.8 45.9 + 1.0 73 143 24 3.54 — May 68 43 56.9 46.4 51.7 + 1.8 42 73 14 5.93 — June 73 41 64.4 48.9 56.7 +2.8 24 40 7 9.93 — July 66 44 61.7 49.2 55.5 —1.0 116 163 26 4.58 — August 77 43 64.7 50.9 57.8 +0.5 19 22 12 4.21 — September 70 40 61.0 46.4 53.7 —0.8 51 84 16 4.36 — October 58 39 54.8 44.9 49.9 —0.2 126 172 13 2.25 — November 58 31 50.1 38.9 44.5 —0.4 127 165 22 1.79 — December 53 30 46.7 37.8 42.3 +0.4 109 134 20 1.36 — Yearl9^ W 77 21 53.8 42.6 48.2 +0.1 962 121 207 3.68 -

AI .DERGROVE.

•F. •F. "F. "F. •F. •F. mm. % hrs. hrs. January 50 15 39.0 30.9 34.9 — 84 121 16 1.68 — February 55 18 43.3 35.3 39.3 — 55 90 18 1.15 — March 60 22 47.9 36.8 42.3 — 122 192 19 2.55 — April 62 29 53.3 39.9 46.6 — 88 164 21 3.81 — May 68 36 60.6 44.8 52.7 — 33 57 IS 5.67 — June 81 37 69.1 49.9 59.5 — 40 65 8 9.30 — July 69 40 64.1 49.5 56.8 — 104 146 23 4.05 — August 79 41 65.9 51.5 58.7 — 17 18 16 3.68 — September 73 30 60.9 46.3 53.6 — 59 94 19 3.25 — October 59 34 53.7 43.5 48.6 — 127 167 15 1.73 — November 57 28 48.1 38.3 43.2 — 113 137 21 1.62 — December 54 24 43.6 35.8 39.7 — 101 116 22 0.91 — Year 194t o 81 15 54.1 41.9 48.0 — 943 112 213 3.28 —

• Sunshine recorder is at Mountstewart. NOTE—In this table the rainfall average is that for the period 1881-1915; the air temperature and sunshine averages relate to the period 1906-35. ABSTRACTS

OF BIRTHS, DEATHS, AND MARRIAGES REGISTERED IN NORTHERN IRELAND

DURING THE YEAR

1940 22

ABSTRACT I.—Northern Ireland : Method of Celebration of Marriages Registered, 1940.

Church of Presby­ Registered 1 Ireland. terian. Buildings.

to H COUNTIES. O i i 8 o < 3 o 1 8 8d 1 o u u < '>3 1 1 o H n iS ^ CQ 1^ oi n n a ^ 1

NORTHERN IRELAND 9,795 2,620 94 15 2,949 41 2,554 803 33 678 5 3

ANTRIM 1,500 354 2 4 702 9 243 94 5 87 ARMAGH 676 238 3 1 88 2 267 44 2 29 2 BELFAST CO. BOROUGH 4,116 1,121 79 4 1,184 18 772 530 17 387 1 3 DOWN 1,530 413 10 3 566 8 346 62 5 116 1 FERMANAGH 285 102 6 146 21 2 8 LONDONDERRY CO. AND , 1 Co. BOROUGH 883 193 3 236 4 377 33 2 35 1 TYRONE 805 199 • 167 403 19 16 1

ABSTRACT II.—Northern Ireland : Marriages Registered in each Quarter, Civil Condition of Persons Married and Number of Minors, 1940.

Total Marriages MARRIAGES Registered in the Of Quarter ended Contracted Persons the last day of between Of not of FuU Age

COUNTIES. 1 T3 IS .2.3 (A .a 3 a o S, i 8 n 1 1 1 >-> NORTHERN IRELAND 2,131 1.994 3,027 2,643 9,130 123 423 119 542 242 443 1,667

ANTRIM 315 322 443 420 1,424a 17 53 6 59 23 47 262 ARMAGH 177 130 213 156 6336 5 32 6 38 11 28 110 BELFAST CO. BOROUGH 838 785 1,376 1,117 3,796<; 61 183<2 76 259 137 241 749 DOWN 317 304 457 452 l,437e 22 5Sd 13 71 35 58 235 FERMANAGH 60 79 72 74 273 2 9 1 10 3 7 35 LONDONDERRY CO. AND CO. BOROUGH 219 184 248 232 8166 9 46 12 58 21 36 154 TYRONE 205 190 218 192 751 7 42 5 47 12 26 122

(a) Including 1 divorc6 and spinster. (6) „ 1 bachelor and divorce (c) „ 8 bachelors and divorces, and 8 divorces and spinsters. {d} „ 1 widower and divorce. (e) „ 1 bachelor and divorce and 2 divorces and spinsters. ABSTRACT III.—Northern Ireland : Births in each of the Four Quarters, 1940. (exclusive of still-born children).

PERSONS. MALES. FEMALES.

COUNTIES. Quarter ended the last day of Quarter ended the last day of Quart er ended the last day of Total. Total. Total. March. June. Sept. Dec. March. June. Sept Dec. March. June. Sept. Dec.

NORTHERN IRELAND 25,363 6,459 7,077 6,330 5,497 13,180 3,335 3,733 3,257 2,855 12,183 3,124 3,344 3,073 2,642

ANTRIM 3,722 948 987 939 848 1,914 507 499 466 442 1,808 441 488 473 406 ARMAGH 2,188 545 590 576 477 1,106 279 305 289 233 1,082 266 285 287 244 BELFAST CO. BOROUGH 8,704 2,255 2,469 2,173 1,807 4,519 1,140 1,299 1,130 950 4,185 1,115 1,170 1,043 857 DOWN 3,781 945 1,055 941 840 1,966 494 565 467 440 1,815 451 490 474 400 FERMANAGH 926 239 270 220 197 493 133 136 111 113 433 106 134 109 84 LONDONDERRY CO. AND CO. BOROUGH .. 3,347 842 954 820 731 1,778 431 520 445 382 1,569 411 434 375 349 TYRONE 2,695 685 752 661 597 1,404 351 409 349 295 1,291 334 343 312 302

to 09

ABSTRACT IV.—Northern Ireland : Deaths in each of the Four Quarters, 1940.

PERSONS. MALES. FEMALES.

COUNTIES. Quarter ended the last day of Quarter ended the last day of Quarter ended the last day of Total. TotaL Total. March. June. Sept. Dec. March. June, Sept. Dec. March. June. Sept. Dec

NORTHERN IRELAND 18,941 6,597 4,594 3,759 3,991 9,565 3,202 2,385 1,921 2,077 9,376 3,415 2,209 1,838 2,214

ANTRIM 2,739 922 673 544 600 1,378 431 356 281 310 1,361 491 317 263 290 ARMAGH 1,707 598 413 350 346 873 285 226 181 181 834 313 187 169 165 BELFAST CO. BOROUGH 6,583 2,409 1,608 1,260 1,306 3,315 1,132 809 657 717 3,268 1,277 799 603 589 DOWN 3,062 1,036 730 612 684 1,537 505 374 309 349 1,525 531 356 303 335 FERMANAGH .. 803 286 178 152 187 389 132 96 70 91 414 154 82 82 96 LONDONDERRY CO. AND CO. BOROUGH .. 2,156 734 525 441 456 1,083 385 264 221 233 1,073 369 261 220 223 TYRONE 1,891 612 467 400 412 990 332 260 202 196 901 280 207 198 216 24 ABSTRACT V.—Counties and Principal Towns. (ii) Total Deaths and Births,

NORTHERN IRELAND. COUNTIES.

Short CAUSES OF DEATH. NORTHERN List ETC. IRELAND. TOTAL TOTAL Nos. URBAN AREAS. RURAL AREAS.

M F M F M F M F ALL CAUSES 9,565 9,376 5,072 5,118 4,493 4,258 1,378 1,361

Typhoid and paratyphoid fevers .. 5 5 2 3 3 2 Cerebro-spinal fever 34 24 23 11 5 6 2 3 Scarlet fever 15 12 7 8 3 3 1 4 Whooping cough 59 82 37 57 22 25 3 12 5 Diphtheria 63 64 48 52 15 12 4' 5 6 Tuberculosis of respiratory system .. 490 477 308 185 188 53 38 7 Other forms of tuberculosis . 168 131 91 68 77 63 27 11 8 Syphilitic disease .. 54 10 36 8 18 2 5 2 9 Influenza 313 352 131 157 182 195 49 10 Measles 91 102 79 12 14 5 11 Acute poliomyelitis and polio encephalitis 4 1 3 1 12 Acute infectious encephalitis 13 19 11 12 7 2 13—16 Cancer and other malignant tumours 847 917 444 505 403 412 133 158 17 Diabetes 72 86 34 55 38 31 16 7 18 Intra-cranial vascular lesions 648 896 287 477 361 419 104 161 19 Heart disease 1,8 1,952 1,027 1,094 971 858 287 249 20 Other diseases of the circulatory system .. 160 177 81 79 31 32 21 Bronchitis 457 485 293 298 164 187 47 64 22 Pneumonia 485 388 332 237 153 151 49

23 Other respiratory diseases 175 121 75 25 M 24 Ulceration of the stomach oi duodenum 125 60 16 65 23 22 4 25 Diarrhoea (under 2 years of age) 208 179 185 149 23 30 8 12 26 Appendicitis 43 29 27 18 16 11 5 7

27 Other digestive diseases 200 227 118 132 82 95 20 31

28 Nephritis 240 233 106 114 134 119 40 29 Puerperal and post-abortive sepsis .. 34 18 16 6

30 Other maternal causes 73 33 40 9

31 Premature birth 192 167 116 76 22

32 Congenital malformations, birth injiUT, infantile disease 265 203 144 141 48 36

33 Suicide 42 18 8 6 2 34 Road traffic accidents 134 36 20 25 9

35 Other violent causes* 311 150 162 95 149. 55 65 23

36 All other causes 1,521 1,597 593 663 928 934 270 299

Deaths under one year of age 1,250 929 858 613 392 316 139 109 Deaths 65 years and upwards 4,454 4,733 1,877 2,269 2,577 2,464 745 784 Uncertified Deaths .. 466 518 114 123 352 395 50 52 Total Births 13,180 12,183 7,176 6,675 6,004 5,508 1,914 1,808 Illegitimate Births .. 582 587 276 277 306 310 86 107 Population (Census 1937) 623,154 656,591 1317,230 362,405 305,924 294,186 96,003 101,263 NOTE—The numbers given in the first column of this abstract are those Of the Short International List whilst the last column shows the numbers in the Detailed International List. 'Including accidents. 25 (i) Deaths from Principal Causes in 1940. and other Statistics.

COUNTIES. Detailed List Nos. BELFAST LONDONDERRY ARMAGH Co. BOROUGH DOWN FERMANAGH Co. & CO. BORO. TVR 3NE

M F M F M F M F M F M F 873 834 3,315 3,268 1,537 1,525 389 414 1,083 1,073 990 901 —

2 1 2 2 1 1 1 1. 2 5 1 11 15 10 5 2 1 6 6 4 2 1 2 6 2 8 5 4 24 30 4 5 3 7 17 18 3 6 9 1 3 43 42 6 9 2 4 7 1 10

42 45 222 190 72 76 14 15 41 67 46 46 13 17 15 50 44 32 28 5 5 21 16 16 12 14—22 4 29 6 10 1 4 1 2 30 29 25 73 88 53 67 13 28 58 54 48 41 33 3 2 69 81 2 4 2 6 5 1 5 35

1 2 36 1 10 10 1 4 1 1 2 37

99 75 256 320 151 158 41 37 89 100 78 69 45—55 7 9 19 38 12 13 1 4 7 7 10 8 61 62 81 168 269 156 145 20 43 82 120 56 77 83 202 217 680 707 358 340 83 65 184 194 204 180 90—95

8 13 47 60 25 31 7 8 15 19 27 14 96—103 44 43 218 218 53 47 19 27 39 40 37 46 106 36 24 242 162 39 54 23 15 54 47 52 37 107-109 fl04, 105 21 11 56 47 34 20 4 4 20 12 15 13 \ 110—114

10 4 38 12 17 5 8 2 14 7 16 5 117 7 10 158 130 14 7 3 2 12 13 6 5 119 3 2 21 12 6 2 1 5 1 3 4 121 |'115, 116 23 20 76 87 27 34 9 9 23 22 22 24 ] 118, 120 (122—129 21 18 57 62 53 53 6 6 39 29 24 26 130—132

— 3 — 10 — 7 — — 2 — 6 140, 147 f 141—146 6 21 13 5 10 9 ------1148—150

19 15 116 78 29 36 8 4 25 20 14 17 159

fl57, 158 30 17 140 97 44 45 10 9 36 37 36 24 tl60, 161

2 2 14 6 8 3 2 6 3 4 2 163, 164 16 2 35 14 30 7 2 1 15 2 11 1 170, 171 f 165—169 18 10 103 62 58 24 9 6 33 14 25 11 \ 172—198 139 154 _ 334 344 231 276 96 110 232 207 219 207 -

92 56 624 441 140 118 38 23 132 112 85 70 459 489 1,122 1,340 817 835 232 260 526 532 553 493 — 46 61 81 81 63 70 61 84 49 58 116 112 — 1,106 1,082 4,519 4,185 1,966 1,815 493 433 1,778 1,569 1,404 1,291 — 51 43 150 157 71 76 36 27 95 100 93 77 — 1 54,271 54,544 205,538 232,548 102,535 108,152 28,856 25,713 70,273 72,463 65,678 61,908 — 26 ABSTRACT V.—(Continued).—Counties and Principal Towns. (ii) Total Deaths and Births,

TOWNS.

Short CAUSES OF DEATH, List ETC. Londonderry Bangor Lurgan Lisburn Ballymena Nos. Co. Boro. M.B. U.D. U.D MB.

M F M F M F M F M F ALL CAUSES 385 384 110 138 95 100 91 96 90 95

1 Typhoid and paratyphoid fevers .. 1 2 Cerebro-spinal fever 1 3 1 2 1 3 Scarlet fever 2 1 4 Whooping cough 6 9 1 1 1 4 5 Diphtheria 1 4 1 2 6 Tuberculosis of respiratory system .. 20 34 5 8 9 4 2 4 3 2 7 Other forms of tuberculosis .. 8 7 3 1 2 1 3 8 Syphilitic disease .. 1 2 9 Influenza 22 12 3 3 3 2 3 7 2 5 10 Measles 6 4 1 1 11 Acute poliomyelitis and polio­ encephalitis 12 Acute infectious encephalitis 1 13—16 Cancer and other malignant tumours 37 29 16 20 12 14 12 5 5 12 17 Diabetes 2 2 1 2 3 2 1 18 Intra-cranial vascular lesions.. 16 49 9 21 4 15 6 14 5 12 19 Heart disease 59 73 19 26 21 16 23 26 15 8 20 Other diseases of the circulatory system .. 4 2 3 1 1 4 3 21 Bronchitis.. 27 17 3 7 4 8 6 6 6 5 22 Pnevunonia 31 17 1 6 6 6 5 3 5 4

23 Other respiratory diseases n 7 2 2 4 3 1 1

24 Ulceration of the stomach or duodenum 7 1 2 1 1 2 1 25 Diarrhoea (under 2 years of age) 9 11 1 3 1 2 26 Appendicitis 1 1 1 1 •

27 Other digestive diseases 9 8 3 5 2 3 3 3 3 1

28 Nephritis 16 13 2 1 3 5 1 1 29 Puerperal and post-abortive sepsis .. — — — — — 1 30 Other maternal causes - 3 - - - -

31 Premature birth 11 6 4 2 3 3 2 4 2

32 Congenital malformations, birth injury, infantile disease 14 14 2 5 2 1 2 6 2

33 Suicide 2 1 2 34 Road traffic accidents 2 3 3 1 2 1 3

35 Other violent causes* 12 5 8 6 1 1 5 1 3 5

36 All other causes .. .. 52 56 15 23 12 12 9 10 15 26

Deaths under one year of age 68 50 9 2 16 9 8 7 14 9 Deaths 65 years and upwards 116 157 56 83 39 54 38 56 40 60 Uncertified Deaths .. .. • .. 7 6 4 1 5 5 Total Births 690 584 117 106 172 147 114 114 129 133 Illegitimate Births .. 35 25 3 4 6 4 4 9 13 9 Population (Census 1937) 22,344 25,469 6,647 9,122 6,404 7,362 5,943 7,099 6,044 6,884

• Including accidents. 27 (i) Deaths from Principal Causes in 1940. and other Statistics.

TOWNS—(Con/i.) Detailed List Newry Portadown Lame Newtownards C^eraine Armagh Omagh Nos. U.D. U.D. M B. M.B. M.B. U.D. UJ).

M F M F M F M F M F M F M F 96 100 90 101 82 62 91 101 55 49 58 63 40 40 —

1.2 1 1 1 2 6 1 8 2 1 2 2 3 1 2 9 • 2 10

6 5 3 5 4 1 4 7 3 2 2 1 2 13 3 2 3 2 1 2 5 3 2 2 2 1 14—22 1 1 1 30 9 8 1 7 1 1 1 3 2 3 1 3 33 1 3 1 35

36 1 37

15 8 9 14 10 8 3 7 8 5 10 5 4 2 45—55 1 1 1 1 61 10 4 7 5 10 6 2 10 6 10 5 4 2 83 16 24 19 31 17 15 22 22 13 12 13 13 9 8 90—95

3 1 4 2 2 1 1 2 1 96—103 3 4 4 2 1 3 3 2 3 2 5 5 1 106 5 7 5 3 3 3 4 4 2 2 2 2 2 2 107—109

(104, 105 2 1 2 1 2 2 3 4 1 1 1110—114

1 1 1 1 1 117 2 1 2 1 3 1 119 1 1 1 : 121 j'115, 116 4 5 3 2 2 1 1 2 2 3 1 ] 118, 120' (122—129 3 3 3 2 3 5 3 4 1 1 3 130-132 • • — 1 — — — 2 — — — 140, 147 j 141—146 1 1 1 ------t 148—150

1 7 6 4 3 2 3 1 1 3 1 2 159

f 157, 158 1 5 4 1 1 1 2 3 4 1 2 1 1160, 161 1 163, 164

1 • I 1 2 1 1 1 170, 171 /165—169 1 4 4 4 4 1 4 1 \. 172—198 12 15 14 10 11 7 24 21 8 4 8 16 4 8 -

11 14 18 12 10 5 11 8 4 6 8 4 4 3 37 46 36 51 39 33 41 51 28 26 25 29 20 16 — 2 2 3 1 2 2 1 1 3 5 2 — 151 148 141 152 114 109 85 89 103 94 75 77 82 60 — 2 5 9 5 10 4 6 4 4 2 3 9 2 — 5,932 6,814 5,796 6,644 5,067 6023, 4,835 5,711 4,293 4,887 3,563 3,501 2,767 2,974 " 28 ABSTRACT VI.—Northern Ireland : Causes

AGES AT Inter­ mediate Iday List Un­ and ' Total Total Nos. CAUSES OF DEATH ALL der less 1 1-4 1-2 2-3 3-6 6-12 under under ACBS 1 tban wks. mths. mtbs. mths. mths. 1 1- 2- 3- 4- 5 day 7dayg year years

TOTAL DEATHS f M 9,565 149 192 173 155 101 228 252 1,250 209 86 46 40 1,631 (ALL CAUSES) \F 9,376 118 131 119 71 159 232 929 207 84 48 36 1,304

1-17 /. Infective and f M 1,375 6 11 15 29 67 128 96 49 27 23 323 Parasitic Diseases \ F 1,321 9 11 6 27 61 114 94 46 25 19 298 18-24 //. Cancer and other ( M 883 1 1 1 1 3 Tumours \ F 966 1 1 25-30 ///. Rheumatism, Diseases of Nutrition and of the Endocrine Glands, other General Diseases and Vitamin deft- ( M 176 2 12 14 3 17 ciericy Diseases \F 256 i 2 1 4 3 7

31,32 IV. Diseases of the / M 81 1 1 1 2 1 6 1 2 9 Blood and Blood- \F 113 1 2 3 i 1 1 6 forming Organs

33,34 V. Chronic Poisoning (M 4 and Intoxication (.F

35-41 VI. Diseases of the Nervous System ( M 865 1 4 5 10 3 15 18 56 9 5 4 6 80 and Setise Organs \ F 1,093 7 4 5 5 10 7 38 12 4 2 3 59 42-48 VII. Diseases of the f M 2,158 1 2 3 1 4 Circulatory System \ F 2,129 2 2 i 3

49-52 VIII. Diseases of the Re-(U 1,117 I 7 14 24 24 59 82 211 60 14 3 5 293 spiratory System \ F 994 1 11 14 12 36 68 142 53 21 11 4 231

53-60 IX. Diseases of the Di-(U 576 1 20 32 31 74 53 211 22 4 3 1 241 gestive System \ F 474 i 1 5 25 19 53 57 161 28 4 3 5 201 61-67 X. Diseases of the Urinary and Genital Systems {n

81-86 XVII. Violent or A cci- f M 487 8 1 6 2 2 1 20 8 12 2 4 46 dental Decths IF 204 6 1 2 1 1 2 13 4 7 3 3 30 87 XVIII. Ill-defined Causes fU 65 3 3 of death \F 55 1 • i 1 3 i : 1 : 5 29 of Death at difiFerent Age-Periods, 1940.

DEATH. Detailed 95 List and Nos. 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- 85- 90- up- waixls 114 81 139 206 200 198 200 251 364 426 533 768 1,072 1,319 1,017 637 304 87 18 101 80 127 156 211 204 229 260 305 415 502 749 934 1,347 1,119 756 369 165 43 ¥} 58 29 68 79 94 80 78 78 88 72 63 58 61 71 42 20 9 2 2 M\ 1-44 57 33 77 100 104 77 75 51 46 31 41 70 66 78 57 38 13 7 2 F; 1 5 4 4 4 9 17 24 57 60 90 130 166 155 98 40 14 1 1 M\ 45-57 4 3 2 11 15 27 50 70 96 111 130 148 141 93 44 13 7

6 8 8 3 6 6 4 7 15 9 18 23 22 20 2 2 M\ 58-71 6 4 8 5 2 12 12 13 12 14 21 34 34 42 18 8 1 2 i F/ 4 1 2 1 1 4 3 5 5 10 15 14 5 1 1 M\ 72-76 2 3 i 1 3 5 9 6 6 10 10 12 16 15 6 1 1 F/

1 3 Ml 77-79 F/

6 4 7 11 7 12 12 24 21 38 55 69 107 179 124 64 38 7 M) 80-89 6 7 3 5 13 16 10 26 35 60 75 118 149 222 145 89 35 19 i F; 4 8 9 3 10 13 22 32 64 101 131 262 363 480 355 204 68 20 5 U\ 90 103 3 9 11 13 20 23 27 43 55 92 130 211 300 464 370 207 107 33 8 F/ 6 4 4 4 18 21 17 34 51 64 73 97 127 138 88 47 24 7 M) 104-114 5 6 5 4 13 8 12 24 23 44 39 74 107 145 123 81 37 9 4 FT 5 8 9 18 9 19 20 16 24 21 30 36 48 40 14 11 7 M\ 115-129 7 6 8 4 12 4 11 14 18 21 22 38 30 32 27 13 6 F/

3 1 3 5 5 10 6 7 11 21 41 43 85 100 74 37 16 6 1 Mt 130-139 1 1 1 6 8 11 9 11 23 27 28 34 39 37 21 10 4 1 F/

5 8 20 25 32 13 4 F 140-150 1 1 1 1 2 1 3 1 5 3 2 1 M\ 151-153 i 2 1 1 i I 2 1 2 1 F)

3 1 1 1 1 2 M\ 154-156 1 1 1 i i 1 1 F; 1 2 1 1 1 I M\ 157 2 2 3 i 2 F/

M\ 158-161 F; 1 4 19 89 172 196 120 44 8 M\ 162 2 3 15 150 233 247 139 85 25 F/ 16 12 25 75 41 25 22 26 34 25 26 23 30 22 22 12 4 1 M\ 163-198 9 4 5 3 3 6 3 6 7 10 17 11 12 18 25 18 13 3 1 F/ 1 3 1 1 3 3 2 7 12 27 1 1 M\ 199,200 2 i 5 9 5 12 16 F/ 30

ABSTRAGTVI.—(Continued).—Northern Ireland : Causes

AGES AT Inter­ mediate Iday List Un­ and Total Total Nos. CAUSES OF DEATH Ail der less 1-4 1-2 2-3 3-6 6-12 under under AGES mths. mths. mtbs. 1 1- 2- 3- 4- 1 than wks. mths. 5 day year years Tdays

1-17 /. Infective and Parasitic Diseases

1 Typhoid and paratyphoid /M 5 fevers \ F 5 ; •

2 Plague .. .. / M 1 • IF t 3 Scarlet fever .. .. / M 15 1 3 4 IF 12 1 i 3 4 4 Whooping cough .. / M 59 1 4 4•\ 9 13 31 16 3 4 3 57 IF 82 3 6 1 15 14 41 26 9 3 I 80 5 Diphtheria .. .. /M 63 1 . 2 3 7 10 6 7 33 IF 64 2 4 6 6 7 7 8 34 6 Tuberculosis of the /M 490 1 3 4 3 1 2 1 11 respiratory system .. \ F 1 477 2 1 3 2 1 6 Tuberculosis of the men- f M ' 75 1 ! 2 13 18 7 8 2 3 38 inges and central ner- \F 58 ^ 1 6 7 7 2 4 4 24 1 vous system i Tuberculosis of the in- f M 27 1 . 5 6 3 9 1 4 i testines and peritoneum (. F 30 1 2 i All other fOTTOS of .. / M 68 7 1 1 2 11 1 tuberculosis .. (. F 43 i i i 3 2 3 1 9 8 Purulent infection and (M 22 3 1 ] 1 1 7 1 1 1 10 septicaemia (non- •< F 19 1 1 2 1 3 puerperal) .. .. (

9 Dysentery .. .. f M IF [ '. 10 Malaria .. .. f M 5 IF 11 Syphilis .. .. /M 54 . 1 1 2 IF 10 i 1 1 i 3

12 Influenza .. .. / M 313 2 4 -I1 11 9 30 12 1 4 2 49 IF 352 3 ! 5 5 15 6 4 1 26 13 Smallpox .. .. / M

14 Measles .. .. / M 91 5 17 22 38 15 2 3 80 IF 102 2 1 25 28 41 14 3 4 90 15 Typhus fever .. f M

16 Diseases due to .. / M helminths .. \ F ,

17 Other infective or fM 90 1 1 4 6 4 6 2 1 19 parasitic diseases .. \ F 67 1 2 4 7 2 5 1 15 i ! 31 of Death at different Age-Periods, 1940.

DEATH. Detailed 95 List and Nos. 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- 85- 90- up­ wards

1 1 1 1 1 M\ 1,2 i i 2 i F/ U\ 3 FJ" 5 2 1 2 1 U\ 8 3 2 1 i 1 F/ M\ 9 2 F/ 21 3 1 2 2 1 Ml 10 18 7 3 i 1 F; 2 2 37 47 73 57 53 51 52 34 27 18 14 10 2 M\ 13 1 4 58 72 82 58 55 38 26 19 13 16 14 11 3 i F/ 6 6 12 2 4 1 2 1 2 1 M\ 14 9 6 4 9 5 i • . • F/

2 2 3 2 1 1 1 1 1 I 2 1 Ml IS 4 4 2 5 1 1 3 1 1 2 2 F/ 5 3 4 8 3 6 4 4 4 2 3 4 2 2 1 M\ 16-22 3 3 2 2 6 3 2 4 1 2 1 2 2 1 F/ • 1 2 1 1 2 2 2 1 M\ 24 2 1 i i 3 3 3 i i FJ

M\ 27 F/ 2 1 2 Ml 28 F; 1 2 2 1 2 3 8 8 6 6 7 4 2 M\ 30 1 1 2 3 F/ 2 2 3 7 6 3 9 10 14 17 18 22 33 51 35 20 9 1 2 Ml 33 3 2 4 4 5 7 8 7 10 8 15 39 46 59 51 36 13 7 2 FJ M\ 34 F/ 6 3 1 1 Ml CS 7 i 1 i 1 1 F/ Ml 39 F/ Ml 40-42 FJ 7 5 7 6 3 5 6 4 7 5 6 2 4 2 2 1 4-7, 11, 4 5 3 6 1 5 6 1 2 1 3 6 3 4 1 i Ml 12, 23, F { 25, 26, j 29, 31, 32, 36, 37, 38, 43, 44. 32

ABSTRACT VI.—(Continued).—Northern Ireland : Causes 1 AGES AT

Inter­ 1 day mediate Un­ and 1Tota l Total ALL der 1-4 1-2 2-^ List CAUSES OF DEATH less 3-6 6-12 under under Nos. AGES 1 wks. mths. mths. mths.mths.' 1 l- 2- 3- 4- than 5 day year years 7dayg 1 18-24 //. Cancer and other Tumours i

18 Cancer and other maUgnant i tumours of the buccal /M 73 cavity and pharynx .. \ F 18 19 Cancer and other malignant tumoiirs of the digestive < M 516 organs and peritoneum t F 438 20 Cancer and other malignant tumours of the respirat- / M 82 ory system .. • • \ F 42

21 Cancer and other malignant tumours of the uterus F 115 22 Cancer and other malig- f M nant timiours of the (. F 152 breast 23 Cancer and other malignant tumours of other or /M 176 1 1 2 imspedfied organs .. (. F 152 24 Non-malignant tumours or tumours of undeterm- fM 36 1 ; 1 , 1 ined nature.. .. \F 49 1 i 25-30 ///, Rheumatism, Diseases of Nutrition and of the En­ docrine Glands, Other General Diseases and Vitamin-deficiency Diseases

25 Rheumatic fever .. (M 45 ^^ 45 26 Chronic rheumatism and / M 26 gout .. ..IF 59 27 Diabetes mellitus .. / M 72 1 1 1 IF 86 28 Diseases of the thyroid I'M 9 and parathyroid glands \ F 48

29 Other general diseases .. / M 15 1 6 7 7 IF 15 1 1 • 2 2 4 30 Vitamin-deficiency / M 9 6 6 3 9 diseases .. ••IF 3 1 1 2 1 3 1 31,32 IV. Diseases of the Blood and Blood-forming Organs

31 Pernicious and other ( M 55 1 1 2 2 anaemias .. .. \ F 82 32 Leukaemias, aleukaemias and other diseases of the blood and blood-tonning f M 26 1 1 1 1 4 1 2 7 organs .. • • IF 31 i 2 3 i 1 1 6

33, 34 \ V. Chronic Poisoning and Intoxication 33 Chronic or acute .. / M 4 alcoholism .. • • \ F 34 Other chronic poisonings / M 1 IF _ 33 of Death at different Age-Periods, 1940.

DEATH.

i ! £5 Detailed and Lbt 5- 10- 15- 20- 25- ! 30- 35- 40- 1 45- 50- i 55- 60- 65- 70- 75- 80- 85- 90- up­ Nos. i wards 1! i 1 I j

I i 3 6 7 i 12 17 12 4 4 M\ 45 2 1 2 2 \ 3 3 \ 2 F/ • ! 2

1 1 1 1 5 8 11 34 37 53 j 73 i 109 91 61 23 7 M\ 46 1 1 5 8 18 19 33 39 65 79 91 44 23 7 i F; 4 5 4 10 11 10 15 i 13 9 3 1 . M\ 47 2 4 1 5 4 9 7| 6 1 2 1 1 F/ 1

1 5 11 16 19 21 20 1 12 5 3 1 1 F 48 1 M\ 50 3 2 5 10 15 17 19 14 27 16 13 8 2 1 F/ 1 1 2 3 1 1 3 3 3 9 3 13 22 25 39 24 12 3 1 1 |M\ 49, 51-55 3 2 2 2 4 14 15 18 24 10 3 10 20 1! 20 4 F; 2 2 \ 1 6 1 3 2 8 i 2 4 2 M\ 56, 57 i \ 5 3 4 4 7 6 2 1 1 7 6 F/ i

5 7 5 2 5 1 2 4 2 5 1 1 2 M\ 58 4 4 6 3 2 5 5 2 2 3 2 2 1 F; 1 3 2 4 5 4 4 1 1 M\ 59,60 i 2 • 2 5 6 6 5 16 9 4 i F) 1 2 2 2 6 4 8 13 16 12 1 1 M\ 61 3 1 2 1 3 4 5 13 19 21 6 3 1 i F; 1 1 2 2 2 1 M\ 63 i 3 4 4 3 7 li 7 3 1 i F; 1 1 1 2 1 1 M \ 62.64-66 i i i i 2 1 2 1 • F; M\ 67-71 F/

1 1

1 1 3 1 4 2 8 13 13 5 1 1 M\ 73 i i 2 2 7 3 6 8 9 11 12 13 6 1 F/

i 4 1 2 1 2 1 3 2 2 1 j M\ 72, 74-76 2 3 i 3 2 3 2 1 1 4 2 i F/

• 1 3 . PM\ 77 i . 1 1 . 1 34 ABSTRACT VI. —(Continued). -Northern Ireland Causes

AGES AT Inter­ mediate 1 day 1 List Un­ and Total iTotal Nos. CAUSES OF DEATH ALL der 1-4 1-2 2-3 3-6 6-12 under less under AGES 1 wks. mths. mths. mths. mths. 1 1- 2- 3- 4- ! 5 day than year Tdayg years

35-41 VI. Diseases o/ the Nervous System and Sense Organs

35 Non-meningococcal (M 28 1 3 5 9 2 2 1 1 meningitis .. • • \ F 15 i 1 1 3 1 1 2 36 Diseases of medulla and spinal i cord, other than loco- f M 16 1 1 1 1 motor ataxia .. \F 23 1 37 Intra-cranial lesions of f M 648 1 1 1 3 1 3 vascular origin .. \F 896 1 1 i • i 2 38 Mental disorders and / M 19 i deficiency .. \ F 35 1 1 i 2 39 Epilepsy .. .. / M 34 1 I 1 2 i 4 IF 20 1 1 40 Other diseases of the f M 98 1 4 7 3 11 39 5 1 1 2 1 48 nervous system .. \ F 91 1 2 5 4" 8 31 9 1 1 ; 42 41 Diseases of the eye, ear f M 22 3 3 2 1 2 1 9 and their annexa .. (. F 13 i i 1 3 1 1 ' 5

I 42-48 VII. Diseases of the Circulatory System

42 Pericarditis (including J chronic rheumatic / M 4 pericarditis) .. \ F 1 43 Chronic affections of the /M 255 valves and endocardium \ F 269 1 44 Diseases of the myocardium, including aneurysm of / M 1,117 the heart .. .-IF 1,175 i 45 Diseases of the coronary arteries and angina fM 363 i pectoris .. \ F 162 i 46 Other diseases of the / M 259 2 heart .. .. \F J 345 •• ! 3 47 Arteriosclerosis and / M 104 gangrene .. • • \ F 108

48 Other diseases of the / M 56 > 2 circulatory system .. \ F 69

1 49-52 VIII. Diseases of the Respiratory System

49 Bronchitis .. .. / M 457 5 i3 11 14 44 3 1 48 IF 485 2 i 8 10 29 4 3 1 37 50 Pneumonia and broncho- /M 485 7 9 If r 1 44 64 158 51 13 t 1 226 pneumonia .. \V 388 1 9 < 26 55 106 44 16 IC A 180 51 Pleurisy (non- / M 25 1 1 1 \ 3 tuberciilous) .. (. F 15 i 1 1 2 52 Other diseases of the respira­ tory system, except fM 150 t 3 4 8 6 ) 16 tuberculosis .. (. F 106 I I 2 2 6 5 i 12 35 of Death at different Age-Periods, 1940. DEATH.

95 Detailed and List 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- ; 85- 90- up- Nos. warc's

82

65 93 169 114 83 107 131 216 141 Ml 84 F/ 85

M\ 80,86, ¥} 87 M\ 88,89 F/

90 F; M\ 92 F/

106 184 260 227 147 M\ 93 120 161 276 229 143 F/

I\ 91,9

97,98

13 M\ 96,99 F/ 103

57 23 79 55 !} •' 17 17 M\ 107-109 33 15 F; 1 M\ 110 1 3 F/

14 6 n io4,i( 10 8 'S 111-11 36 ABSTRACT VI.—(Continued).—Northern Ireland : Causes

AGES AT

Inter­ 1 da:r mediate Un­ and iTotal Total List CAUSES OF DEATH ALL der lees 1-4 1-2 2-3 3-6 6-12 xmder under Nos. AGES 1 than wks. mths. mths mths mths. 1 1- 2- 3- 4- 5 day "day a year years

53-60 IX. Diseases of the Digestive System 53 Ulcer of the stomach or f M 125 I duodenum .. IF 39

54 Diarrhoea and enteritis f M 208 1 19 30 29 69 41 189 19 208 (under 2 years of age) \ F 179 i 1 5 23 19 52 55 156 23 179 55 Diarrhoea, enteritis and ulceration of the in­ testines (2 years of age f M 31 3 2 1 6 and over) .. .. (. F 47 2 1 3 6

56 Appendicitis .. .. / M 43 1 1 \F 29 1 1 1 i 3 57 Hernia, intestinal f M 55 4 7 12 1 1 14 obstruction .. \ F 48 1 1 58 29 i ' Cirrhosis of the liver .. / M 1 IF 6 59 Other diseases of the Uver and biliary passages, in- f M 26 eluding biliary calculi \ F 60 '.

60 Other diseases of the / M 59 1 2 1 1 5 10 1 1 12 digestive system .. (. F 66 2 1 3 4 2 2 i 12

61-67 X. Diseases of the Urinary and Genital Systems {not Venereal or connected with Pregnancy or the Puerperium)

61 Nephritis .. ., / M 240 I I 4 1 6 \F 233 i 1 i i 3 62 Other diseases of the f M 16 1 1 2 5 5 Kidneys and Ureters \ F 32 1 1 2 4 2 i 7

63 Calculi of the urinary f M 4 passages .. • • \ F 2 64 Diseases of the bladder, fM 16 except tumours .. \ F 6 65 Diseases of the urethra, /M 10 urinary abscess, etc. \ F 66 Diseases of the prostate M 200 67 Other diseases of the genital organs, not specified as venereal or connected with pregnancy or the puer- ( M 2 1 1 2 2 peral state .. \F 9 • •

68-72 XI Diseases of Pregnancy, Childbirth and the Puerperal State 68 Diseases and accidents of pregnancy .. .. F 16

69 Abortion without mention of septic conditions .. F 3 70 Post-abortive infection.. F 9

71 Infection during childbirth and the puerperium F 25 72 Other accidents and diseases 1 of childbirth and the puer­ perium .. .. F 54 37 of Death at dififerent Age-Periods, 1940.

DEATH.

95 Detailed and List 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- 85- 90- up­ Nos. wards

4 6 6 14 8 16 9 13 12 18 11 4 3 1 M\ 117 1 1 2 3 4 6 8 3 5 3 2 1 FJ M\ 119 F/

2 1 1 2 2 2 2 2 4 3 3 1 M\ 120 1 1 1 3 1 2 3 2 i 4 5 7 5 4 1 F/ 5 4 1 2 2 4 2 2 1 3 2 1 3 5 5 M\ 121 3 3 2 1 2 1 1 2 3 1 3 1 1 i 1 F/ 2 1 1 1 1 1 7 6 10 5 1 2 2 1 M\ 122 1 3 3 2 2 4 8 6 7 4 6 1 FJ 1 1 4 9 1 4 1 8 • M\ 124 i i 1 2 i FJ

2 1 1 1 2 2 4 3 4 2 2 2 M\ 125-127 i i 2 2 4 4 7 6 10 5 5 9 2 2 F/ 3 4 1 3 2 3 1 3 2 1 13 3 2 M\ 115,116 4 2 3 1 s 1 2 1 4 4 1 4 7 7 5 2 i FJ 118,123 128,129

3 I 3 4 5 9 5 6 17 27 27 39 35 28 11 4 2 1 M\ 130-132 1 6 7 9 7 8 21 24 22 29 31 33 20 9 3 F/ 1 1 3 2 2 1 M\ 133 i 1 i 4 4 2 1 i i i FJ 5 1 1 2 M\ 134 1 1 2 F/ 1 1 5 2 1 1 M\ 135 2 2 i i 1 1 2 F; 2 2 M\ 136 1 2 2 F/ 8 15 43 25 10 3 M 337 1 39 56

M\ 138,139 1 1 2 1 1 3 FJ

•" ' "

1 1 4 5 3 1 1 F 142-145

2 1 F 141

1 2 2 3 1 F 140

3 2 7 7 3 1 F 147 2

12 11 17 7 2 p f 146,148- 1 ^il50 38 ABSTRACT VI .—(Continued) .-—Northern Ireland : Causes

AGES AT

Inter­ 1 day mediate Un­ and Total Total List CAUSES OF DEATH ALL der less 1-4 1-2 2-3 3-6 6-12 under under Nos. AGES 1 than wks. mths. mths. mtbs. mtfas. 1 1- 2- 3- '4- 5 day 7days year years

76-79 XV. Diseases peculiar to the First Year of Life

76 Congenital debility .. / M 155 23 26 24 35 14 27 6 155 155 IF 117 8 20 20 23 14 17 15 117 117 77 Premature birth (stUl- f M 250 86 101 47 13 1 2 250 250 births excluded) .. \F 192 79 58 37 9 5 3 1 192 192 78 Injury at birth (still- ( M 32 5 22 5 32 - 32 births excluded) .. XF 16 5 9 1 i 16 16 79 Other diseases peculiar fM 44 14 11 15 2 2 44 44 to the first year of life \ F 34 10 13 10 1 34 34

81-86 XVII. Violent or accidental Deaths 81 Suicide .. .. f M 42 ; IF 18 • 83 Automobile accidents (all ( M 117 2 3 3 8 motor-driven road vehicles) \ F 35 • i 1 2 84 Other accidents .. / M 242 6 1 6 2 2 1 18 6 9 2 1 36 IF 150 6 1 2 1 1 2 13 4 7 2 2 28 82, 85i Other violent deaths .. / M 86* 2 2 2 ! 86 IF 1 i * This figure includes the deaths of 67 members of the Armed Forces. NOTE—TTie deaths due to causes appearing in the Intermediate List under Nos. 73, 74, 75, 80 and 87 are omitted from the detailed portion of the Abstract, since they are already given in the summary on pages 28 and 29.

ABSTRACT VII.—Northern Ireland : Deaths in Institutions, 1931-40.

1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 Number of Deaths in—

Public Mental Hospitals .. 340 400 434 435 461 481 487 456 447 501 Poor Law Institutions 1,928 2,017 1,979 1,903 2,167 2,220 2,388 2,317 1,876 2,245 District Hospitals* 345 430 688 652 772 834 812 832 938 1,035

Other Hospitals and Infir­ maries 1,422 1,332 1,484 1,537 1,612 1,586 1,605 1,625 1,687 1,815 Own Homes, etc 14,014 13,633 13,569 12,989 13,580 13,308 13,990 12,419 12,594 13,345

Total Deaths 18,049 17,812 18,154 17,521 18,592 18,429 19,282 17,649 17,542 18,941 Percentage of Deaths in In­ stitutions 22.4 23.5 25.3 25.9 27.0 27.8 27.4 29.6 28.2 29.5

* These buildings were originally poor law institutions, and were converted into district hospitals. Both private patients and patients who ate wholly or partly a charge on the poor rate are received. 39 of Death at different Age-Periods, 1940.

DEATH.

95 Detafled and Ust 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75- 80- 85- 90- up­ Nos. wards

M\ 158 F; M\ 159 F/ U\ 160 F/ U\ 161 F/

1 5 3 1 5 2 6 4 7 3 2 2 1 M\ 163,164 1 1 2 3 7 2 2 FJ 6 6 5 9 8 6 5 7 7 12 7 8 6 7 6 3 1 M\ 170 6 2 2 1 2 1 4 4 3 1 2 3 1 i F; 10 6 13 22 15 13 11 10 14 8 11 12 20 13 15 9 4 M\ 169,171- 3 2 3 2 1 4 2 4 4 6 6 6 9 16 22 16 12 3 i FJ 195 6 39 15 5 1 7 7 1 1 2 M\ 165-168 i FJ 196-198

ABSTRACT VIII.—Northern Ireland: Ages of the Population according to the Census of 1937.

AGES Persons Males Females AGES Persons Males Females AGES Persons Males Females

Under lyr. 23,142 11,774 11,368 20-25 105,247 51,039 54,208 60-65 54,221 26,601 27,620 1- 2 22,338 11,395 10,943 2S-90 101,373 48,535 52,838 65-70 47,057 22,794 24,263 2- 3 22,192 11,396 10,796 30-35 90,756 43,611 47,145 70-75 35,317 16,107 19,210 3- 4 22,265 11,411 10,854 35-40 88,231 41,638 46,593 75-80 19,893 8,799 11,094 4- 5 22,002 11,155 10,847 40-45 75,890 35,844 40,046 «)-85 9,200 3,941 5,259 5-10 114,222 58,080 56,142 45-50 67,601 31,898 35,703 85-90 3,267 1,280 1,987 10-15 120,744 61.501 59,243 50-55 62,021 29,433 32,588 90-95 713 254 459 15-20 113,733 56,658 57,075 55-60 58,139 27,944 30,195 95 up 181 66 115

ALL AGES 1,279,745 623,154 656,591 40

.«'2 • "0 « O«03 CO — in •

N r^in CC t^03 CO t>co NCOCO O-fCD OOl- CO OCO COM CO M — CO —M M —— O N —

n •* 0) •V t^r> O5~00 O3 00 — ccin — com 00 in N inco t-N-^eo — •^ t^ CO in 00 Tf — M 03 TT -* C^TT CO 00 cc m c<3

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Detailed AGE List All Nos. CAUSES OF DEATH Ages 85 and -1 1- 5- 10- 15- 25- 35- 45- 55- 65- 75- over

1,2 Typhoid and paratyphoid fevers 1 5 2 2 3 1 1 6 Cerebro-spinal fever 3 3 22 33 25 19 1 2 1 1 8 Scarlet fever 1 11 37 25 3 2 1 1 — — 9 Whooping cough 7 33 86 19 10 Diphtheria 7 4 77 181 62 6 5 2 13 Tuberculosis of respiratory system .. 51 3 13 14 37 340 333 210 87 —29 10 2 14—22 Other forms of tuberculosis 16 16 79 134 150 88 39 19 11 7 2 1 30 Syphilitic disease 3 1 4 5 4 6 11 7 2 1 33 Influenza 35 21 40 23 25 29 26 36 32 37 40 40 34 35 Measles 10 23 159 60 19 5 4 1 36 Acute poliomyelitis and polioenceph- ilitis .. 5 12 37 Acute infectious encephalitis 2 5 9 . 10 2 2 45—55 Cancer and other malignant tumours 93 3 5 43 16 38 110 177 174 129i 76 37 61 Diabetes ...... 8 9 6 6 6 6 10 12 15 6 3 83 Intra-cranial vascular lesions 82 2 5 5 12 37 68 107 130 115 101 90—95 Heart disease 208 1 3i 33 100 54 76 123 195 266 320 293 219 96—103 Other diseases of the circulatory system 18 1 6 3 5 9 11 22 25 30 26 106 Bronchitis 50 34 16 6 5 10 28 54 60 68 61 55 107—109 Pneumonia 46 121 187 42 43 14 41 46 39 31 27 23 17

104, 105 •> Other respiratory diseases 16 7 22 9 12 8 23 19 28 19 16 12 10 110-114 / 117 Ulceration of the stomach or duodenum 9 6 16 27 21 15 8 3 2 119 Diarrhoea (under 2 years of age) 20 158 56 121 Appendicitis .. 4 4 28 50 19 10 6 7 3 1, 115, 116 ^ — i i 118,120 y Other digestive diseases .. 23 12 33 28 37 37 28 32 27 31 23 14 10 122-129 / 130-132 Nephritis 25 1 9 14 12 21 37 28 46 41 30 19 10 140, 147 Puerperal and post-abortive sepsis .. 2 9 16 15 1 141-146 \ 148-150 / Other maternal causes 4 11 39 33 2 159 Premature birth 23 204 157, 158 \ Congenital malformations, birth injury, 160, 161 f infantile disease 32 267 16 14 12 10 1 3 1 163, 164 Suicide .. .. 3 10 6 11 9 —7 170, 171 Road traffic accidents 9 15 56 50 33 23 14 17 9 4i —4 2

165-169 \ Other violent causes 24 15 42 60 50 129 63 36 25 14 12 17 20 172-198 ]• All other causes 165 73 102 186 218 102 125 127 116 105 136 282 453

ALL CAUSES .. 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000 1,000

NoiK.—A dot (.) indicates that there were no deaths. A dash (—) indicates that the deaths were not sufficiently numerous to give a rate of 1. 42 ABSTRACT XI.—Northern Ireland: Deaths from Cancer by Sex, Age, and Site, 1940.

MALES FEMALES Total Males Un­ Un- • SiTKS and All der 20- 30- 40- 50- 60- 65- 75- All der 20- 30- 40- 50- 60- 65- 75- ^emaks \ges 20 ^ges 20

20 14 2 1 2 6 3 6 2 2 2 15 14 1 1 2 6 4 1 1 Mouth .. 6 6 1 1 3 1 45^fe Palat e :.:. :: 6 5 1 3 1 1 1 ] Pharynx 7 2 2 5 1 1 1 2 1 Tongue 30 26 5 6 8 7 4 1 2 vTonsils .. 7 6 4 1 1 1 1 / Duodenum 2 2 1 1 :ntcstines 229 111 1 4 6 16 17 46 21 118 1 1 11 21 12 48 24 Jver and Gall Bladder 92 39 1 6 7 2 15 8 53 1 1 2 6 5 10 18 10 Oesophagus 37 18 1 5 9 3 19 1 1 2 2 2 9 2 Pancreas 38 27 1 2 2 9 6« 7 li 1 3 2 3 2 Peritoneum 4 2 1 1 2 1 1 Pylorus 6 3 2 i 3 1 2 Rectum 123 76 1 6 15 11 31 12 47 4 6 9 6 19 3 ^ Stomach 423 238 1 1 6 23 42 34 92 39 185 2 5 11 31 31 73 32 /Bronchus . 24 16 1 5 4 2 4 8 2 5 1 1 Larynx 30 19 1 1 1 3 10 3 11 2 2 4 1 1 1 47 •< Lung 60 40 1 2 6 13 10 7 1 20 1 3 4 6 4 2 1 Mediastinum 10 7 1 2 3 1 3 1 1 1 vTrachea

115 1 5 27 40 20 17 5 32 1 1 6 8 5 5 6 1 (Vulva .. 6 6 2 2 2 152 3 7 25 36 14 43 24 / Penis 2 2 2 E, J Prostate 59 59 2 4 10 24 19 °* j Scrotum 1 1 i, Testicle 3 3 3

f Bladder 16 13 1 3 4 5 3 1 2 52 \ Kidney .. 11 6 2 1 3 5 1 2 I Urethra 1 1 • .Cheek .. 4 1 1 3 2 /Ear 9 7 3 4 2 1 1 Face 37 17 2 10 5 20 2 5 11 53 J Perineum 1 1 1 j Scalp 1 1 Skin .. 7 2 5 2 2 V Umbilicus 1 1 1i

,. ( Brain .. 13 IT 3 2 5 1 2 2 ^* 1. Spinal Cord 2 2 1

1 Abdomen 10 10 1 1 4 1 2 Arm, leg and hand 17 5 1 2 12 2 1 1 3 3 Axilla .. Bone 17 10 2 1 2 4 7 1 1 1 1 1 Chest Wan Eye 3 2 i i Foot 3 2 i 1 1 Groin .. 4 1 3 i 1 Heart .. 1 i 5 i i 4 1 Lymphatic Glands 55 Neck .. ., 15 8 2 3 2 7 2 2 2 Orbit .. 4 3 1i 1 1 1 Parotid Gland .. 4 3 1 1 1 1 Pelvis .. 6 1 5 2 1 i Spine 2 1 1 Spleen .. 1 1 Thorax 1 i i Throat .. 14 8 2 2 3 i 6 4 Thyroid Gland . 8 3 2 1 5 i 2 Other and Unde­ 2 2 fined Sites 5 1 1 4 1 1

TOTAL 1,764 847 10 5 24 74 145 122 315 152 917 6 11 34 112 1924 128 281 jl51 ABSTRACT XII.—Northern Ireland : Infant Mortality Rates, 1935-40.

Deaths of Infants under One Year per 10,000 Births Registered.

YEAH 1940. 1935 1936 1937 19% 1939 CAUSES OF DEATH MALES AND FEMALES MALES. FEMALES (with Detailed List Nos.) 1 day 1 day 1 day Udr. and Udr. and Ud and Totl. 1 less 1-4 1-2 2-3 3-6 6-12 Totl 1 less 1-4 1-2 2-3 3-6 6-12 Toti 1 less 1-4 1-2 2-3 3-6 6-12 day than wks. mths. mths. mths. niths. day than wks. mths. mths. mths. mths. day than wks mths mths. mths mths. 7 days 7 days 7 days

ALL CAUSES 863 769 775 751 705 859 105 127 115 100 68 153 191 948 113 146 131 118 77 173 191 763 97 108 98 81 58 131 190 Common Infectious Diseases Scarlet Fever (8) 1 3 1 1 Whooping Cough (9^ 16 32 30 22 17 28 2 4 3 9 11 24 1 3 3 7 10 34 2 5 2 12 li Diphtheria (lOJ 3 3 1 2 4 1 2 2 1 2 5 2 3 Influenia (33) . • ! 7 3 14 5 9 18 1 3 —2 6 6 23 2 3 3 8 7 12 2 2 4 4 Smallpox (34) Measles (35) 47 2 2 32 3 20 i 2 17 17 4 13 23 2 i 21 Diarrhoeal Diseases • Diarrhoea and Enteritis (119) 131 109 94 77 98 136 — 1 9 21 19 48 38 143 1 14 23 22 52 31 128 1 1 4 19 16 43 45 Tuberculous Diseases Central Nervous System (14) 6 5 3 6 6 10 1 1 7 14 1 2 2 10 6 5 03 Intestines and Peritoneum (IS) 2 2 1 1 2 3 — 2 5 1 4 1 ) 1 Other Tuberculous Diseases — , (13, 16-22) 2 2 2 2 2 4 — — 1 2 3 1 2 5 1 2 2 Developmental and Wasting Diseases Congenital Malformations (157) 53 51 66 77 57 72 8 16 18 12 7 7 5 77 8 14 21 16 7 8 2 66 7 17 14 7 7 5 9 Premature Birth, Injury at Birth (159, 160) 170 200 188 173 163 193 69 75 35 9 2 2 1 214 69 93 39 10 1 2 171 69 55 31 7 4 3 1 Congenital Debility and other Infantile Diseases (158,161) 145 140 146 128 138 138 22 28 27 24 11 19 8 151 28 28 30 28 11 22 5 124 15 27 25 19 11 15 12 Bronchitis and Pneumonia Bronchitis (106) 33 24 25 21 21 29 3 5 4 7 9 33 4 6 5 8 11 24 2 3 4 7 8 Pneumonia (107-109) 128 92 103 99 90 104 — 3 7 10 9 28 47 120 i 5 7 12 13 33 49 87 i 7 7 5 21 45 Other Causes Erysipelas (11) 3 3 1 1 1 1 Syphilis (30) 3 2 1 3 —1 — I 1 1 1 Rickets (70) 2 3 2 2 2i 3 — — 3 5 5 2 Meningitis (81) 10 3 6 6 4 5 —2 2 7 2 4 2 1i 1i Ccmvulsions (86) 34 33 31 32 38 27 4 2 —5 —3 7 6 30 3 3 5i 2 8 7 24 6 2 4 3i 5 4 Suffocation (overlaying in 182) 4 2 2 1 1 3 — 1 4 1i 2 1 1 2 1 Inattention at Birth (in 195) 5 5 3 5 4 5 —4 — —, — 5 4 5 5 Other Violence* 6 3 6 7 8 6 1 — 2, 7 2 i 3 4 2 Other Causes 52 48 46 48 42 52 6 6i 4i 14 23i 66 6 8i 5i 17 30i 38 5i 5i 2i 10 16

NoT«.—A dot (.) indicates that there were no deaths. A dash (—) indicates that the deaths were not sufficiently numerous to give a rate of 1. 'Including accidents. ABSTRACT XIII.—Infant Mortality Rates for the Aggregates of Urban and of Rural Areas in Northern Ireland, 1935-40.

Deaths of Infants under One Year per 10,000 Births Registered.

YEAR 194C .

MALES AND FEBIALES MALES. FEMALES. • CAUSES OF DEATH 1935 1936 1937 1938 1939 1 day 1 day 1 day Undr and 1-4 1-2 2-3 3-6 6-12 (Jndr. and 1-4 1-2 2-3 3-6 6-12 Undr. and 1-4 1-2 2-3 3-6 6-12 Toll 1 less wks. mths mths. mths. mths. Totl 1 less wks. mths. mths. mths. mths. Totl 1 less wks. mths. mths. mths. rnths. day than day than day than 7 days 7 days 7 days

ALL URBAN AREAS Common Infectious Diseases 94 47 32 82 36 86 4 8 8 16 51 77 1 7 10 17 42 96 6 9 6 15 60 Diarrhoeal Diseases 205 164 137 107 147 216 1 14 30 30 77 64 2.36 21 35 35 88 57 195 1 1 6 25 25 64 70 Tuberculous i ^ Diseases 10 10 8 10 10 20 1 1 4 13 22 1 3 3 15 18 1 6 10 Developmental and Wasting Diseases 398 426 431 403 374 441 114 120 82 51 20 33 20 504 118 151 98 64 25 36 13 373 109 87 66 37 15 30 28 Bronchitis and Pneumonia 204 138 149 152 131 185 1 4 14 22 14 55 75 222 1 7 17 32 17 64 84 145 1 10 12 10 45 66 Other Causes 134 114 113 114 107 114 6 4 13 12 8 28 43 135 6 4 13 11 8 33 60 91 7 3 13 12 7 22 25

ALL CAUSES .. 1,045 899 868 868 804 1062 122 129 126 125 82 213 266 1196 125 162 149 151 98 241 270 918 118 93 102 97 64 183 261

ALL RURAL AREAS

Common Infectious Diseases 48 39 68 35 23 50 4 5 3 21 17 52 3 5 3 22 18 47 5 5 2 20 15 Diarrhreal Diseases 38 39 40 38 37 40 1 4 10 5 13 7 33 2 7 8 7 10 47 2 11 4 16 15 Tuberculous Diseases 10 7 5 9 7 12 2 10 20 3 17 4 4 Developmental and Wasting Diseases 331 34i) 360 346 337 357 80 116 78 36 20 19 8 366 90 118 82 42 10 23 2 .347 69 114 74 29 31 15 15 Bronchitis and Pneumonia 107 86 102 82 86 70 2 5 5 13 11 34 72 3 3 2 18 15 30 69 7 9 7 7 38 Other Causes 98 86 79 94 90 86 5 7 10 15 9 16 25 110 8 3 15 22 10 22 30 60 2 11 4 7 7 9 20

ALL CAUSES .. 631 602 655 603 580 615 85 126 102 70 51 80 101 653 98 127 110 78 52 92 97 574 71 125 93 62 51 67 105

• The diseases included under the headings in this column are given in Abstract XII. ABSTRACT XIV.—Northern Ireland : Mortality among Illegitimate Children, 1935-40.

Rate per 10,000 Illegitimate Births Registered Numbers of Deaths Registered in 1940 at Ages—

CAUSES OF DEATH 1 day (with Detailed List Nos.) Under Under and 1-4 1-2 2-3 3-6 6-12 1935 1936 1937 1938 1939 1940 1 1 less than weeks months months months months year day 7 days

Common In/ectious Diseases Scarlet Fever (8) 8 Whoopfaig Cough (9) .. 8 67 34 9 26 3 2 Diphtheria (10) 8 17 2 i 1 Influenza (33) 8 34 9 43 5 i 2 2 Smallpox (34) i Measles (35) 50 78 17 2 i i Diarrhoeal Diseases , Diarrhoea and Enteritis (119) 331 284 127 209 185 342 40 3 12 6 11 8 Tuberculous Diseases Central Nervous System (14) 25 8 9 8 26 3 1 2 Intestines and Peritoneum (15) 8 8 Other Tuberculous Diseases (13, 16-22) 17 2 i i >4^ Developmental and Wasting Diseases Congenital Malformations (157) 33 50 85 69 59 51 6 1 1 1 2 1 Premature Birth, Injury at Birth (159, 160) .. 331 350 287 313 320 334 39 10 14 11 2 2 Congenital Debility and Other Infantile Diseases (158,161) 290 392 414 287 354 436 51 3 8 7 14 6 12 1 Bronchitis and Pneumonia Bronchitis (106) 75 42 8 9 8 34 4 1 1 2 Pneumonia (107-109) .. 141 117 85 200 110 86 10 2 2 2 4 Other Causes Erysipelas (11) 17 8 9 Syphilis (30) 17 9 8 9 Rickets (70) 8 17 i i Meningitis (81) 17 , 9 Convulsions (86) 75 58 34 110 51 6i 3 Suffocation (overlaying in 182) ei i i i Inattention at Birth (in 195) Desertion 91 75 25 69 67 43 5 5 Other .. 8 42 25 35 25 43 5 5 Other Violence* 33 8 59 61 25 17 2 1 Other Causes 99 75 76 52 25 68 8 1i 4 3

ALL CAUSES 1,616 1,618 1,344 1,487 1,306 1,668 195 25 24 25 36 21 40 24

* Including Accidents. 46 ABSTRACT XV.—Northern Ireland : Notifications of certain Infectious Diseases, 1940.

0 •2 u 3 •a o •a § 3 1 s g StS CL* lb COUNTY BOROUGHS, > nl "§• 01 a > M BOROUGHS, Sis £ •g (/I 33 .a 2 URBAN AND RURAL to •jj .a 6 ^ y 1§ 1 Q DISTRICTS . •a3 \ '% El 3 £ •a 1 < 1 o 3 % 1 S tk H O 1_ 1 ou a l_ 6 17 1,265 1,168 169 115 j H Belfast Co. Borough* 501t 5,058 — 701 35 It 33<«) 9,369 Londonderry „ „ 2 86(6; 56 1 9 4 47 3 208 296 — — Ballymena Mun. Boro. 2 33 4 3 10 1 7 _ 1 1(e) 62 Bangor „ „ 26 18 5 2 4 . — 25 80 Coleraine „ „ 5 7 2 — 14 Lame „ „ 6 7 3 1 3 — 20 Newtownards „ i 11 4 • — — — i 17 Armagh U.D. .. 1 8 2 — 1 1 — _ 13 Ballycastle „ .. 12 12 BaUyclare „ .. 1 — 1 Ballymoney „ .. 15 10 — — 25 Banbridge „ .. 19 9 7 — —' 37 Carrickfergus „ .. 21 12 2 5i — —2 . 42 Cookstown „ .. 27 — 27 Donaghadee „ .. 4 — — 5 Do^npatrick „ .. 9 2i — — — 11 Dromore „ .. 2 — — — 2 Dungannon „ .. 15 . — —1 __ 17 Enniskillen „ .. 9 i i.d)— __ 9 Holywood „ .. 14 5 2 2 — 27 Keady „ .. 2i 4 2 — 8 Kilkeel „ .. — 2 — 2 Limavady „ .. . 56 4 3 — 4 — —7 75 Lisburn „ .. 29 16 8 —2 7 10—5 4 172 Lurgan „ .. 30 11 2 2 10 — ! 55 Newcastle „ .. — — Newry „ .. — — — —11 15(6—) —3 —7 — — — 36 Omagh „ .. 17 13 16 2 1 3 — — 53 Portadown „ .. i1 33 16 X 12 3 2 — —1 70 Portrush „ .. 1 2 2 —1 6 Portstewart „ .. 1 — 1 Strabane „ .. 14 3 — _1 17 Tanderagee „ .. 4 4 — — — — 8 Warrenpoint „ .. 3 —2 — 6 Whitehead „ .. 2 i — — 2 Antrim R.D. 3 24 8 3 2 9 — — __ \{e) 53 Armagh „ .. 10 46 7 2 2 — — 67 Ballycastle „ .. 2 10 2 —16 — 30 Ballymena „ .. 2 11 2 — i — — 16 Ballymoney „ .. 23 31 2 — — 56 Banbridge „ .. 39 6 3 4 1 — — 53 Belfast „ .. 32(/) 12 6 4 2 — 2(e) 58 Castlederg „ ,. 47 4 5 — — i 57 Castlereagh „ .. 22 13 2 — — — 37 Clogher „ .. 34 6 — — 41 Coleraine „ .. 14 6 i — 21 Cookstown „ .. 34 3 — 37 Downpatrick „ .. 2 24 11 — 3 i — — 42 Dungannon „ .. 2 99 13 1 — — — Ms) 119 Enniskillen „ .. 36 3 — — 39 Hillsborough „ .. 33 13 3 i — — — 54 Irvinestown „ .. 20 3 . — — m 23 Kilkeel „ .. — — — 1 Lame „ .. 77 12 1 7 2 — — i{h) 100 Limavady „ .. 88 3 22 — 3 — — — 116 Lisburn „ .. 5 30 15 7 5 i — — — 63 Lisnaskea „ .. 2 7 7 — 2 266 — 126 410 Londonderry „ .. 30 14 1 — — — 45 Lurgan „ .. 4 33 5 1 2 —' — — 45 Magherafelt „ .. 30 12 1 4 — — — 47 Moira „ .. 9 2 7 — i — — — 19 Newry No. 1 „ • • 22(6) 3 3 1 — — — 29 Newry No. 2 „ .. 10 3 3 — — — 19 Newtownards „ .. 38 11 31 1 . — -^ 53 Omagh „ 8 86 22 47('») — 9 6 — — — [ m 179 Strabane „ •. 68(*) 24 17 7 3 — —« — 119 Tanderagee „ .. 6 1 • — -^ — ' TOTAL 69 • 2,876 1,669 444 255 224 599 5,448 44 827 46 2 41 12,564 A dash indicates that fhe disease is not compulsorUy notifiable in that area. • In Belfast only the first case of measles or whooping cough in a household is required to be notified, unless a period of 2 months intervenes in the case of the former dis<^ise and 3 months in the case of the latter.h t At the Tuberculosis Institute, Belfast, during the year 755 penscms were diagnosed as sufiering from tuberculosis, of which 47' cases were notified as cases of acute infectious tuberculosi», and have been included above. (a) 2 poliomyelitis, 8 dysentery, 1 relapsing fever, 1 malaria, 1 trench fever and 20 ophthalmia neonatorum. (6) Including one case of mixed infection, scarlet fever and diphtheria, (c)' Ophthalmia iiednatoniih. Jd) Epidemic since end of August, 1940 : number of cases not stated, (e) Encephalitis lethargica. (/) Including one case of mixed infection, scarlet fever and chickenpox. (?) Relapsing fever, (h) Poliomyelitis. (») 2 cases of mixed infection, broncho-pneumonia and whooping cough. (/) Continued fever.

NORTHERN IRELAND BELFAST Co. BOROUGH LONDONDERRY Co. BOROUGH

SUBJECT j 1 1938 1939 1940 1938 1939 1940 1938 1939 1940

Birth Rate 20.02 19.49 19.57 20.76 20.22 19.59 26.39 26.14 26.65 Marriage Rate .. 6.70 7.09 7.56 7.58 8.36 9.26 8.83 11.13 8.58 I Death Rate 13.72 13.55 14.61 13.78 12.98 14.80 13.57 13.16 16.08 Death Rates from certain specified diseases :

P a Tuberciilosis (all forms) .. 0.92 0.84 0.98 1.03 0.98 1.14 1.17 0.94 1.44 Cancer 1.32 1.33 1.36 1.29 1.29 1.29 1.00 1.07 1.38 4^ Cn Influenza .. .. 0.20 0.31 0.51 0.13 0.11 0.36 0.15 0.15 0.71 w *< Pneumonia .. 0.80 0.62 0.67 1.06 0.71 0.90 0.67 0.52 1.00 Death Rate—Senility (Old Age) 1.28 1.39 1.20 0.54 0.72 0.46 0.92 0.79 1.00 •->! H Infant Mortality Rate (per 1,000 births) 75 70 86 96 85 122 81 76 93 C Maternal Mortality Rate (per 1,000 births) 5.32 3.80 4.22 5.25 3.24 3.56 2.38 3.20 2.35 as w Chief Notifiable diseases—cases notified : o Typhoid Fever 95 85 69 12 20 17 5 10 2 Scarlet Fever 4,197 4,070 2,876 2,143 1,696 1,265 120 155 86 Diphtheria 1,596 1,233 1,669 686 687 1,168 162 88 56 Cerebro-spinal Fever .. .. ' .. 43 31 255 35 18 169 2 8 9 Acute Infectious Tuberculosis 534 531 599 440 454 501 37 39 47

NOTE—Where not otherwise stated, the rates given are per 1,000 of estimated population.