PUBLIC HEALTH Was As High As 27.8 Per 1,000
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APRIL 20, 1895.] PlUBLIC HEALTH AND POOR LAW. LxMuB^rounu 901 C. E. Hibbard, Guy's Hospital; E. A. Le Maistre, London Hos- quarter of the current year. The mortality figures in the table relate to pital; R. C. Morris, Birmingham; W. P. R. Newth, St. Thomas's the deaths of persons actually belonging to the various sanitary areas, Hospital; L. E. Owen, University College Hospital; W. Taylor, and are the result of a complete system of distribution of deaths oc- Birmingham. curring in the institutions of London among the various sanitary Physiology.-S. R. Bhagtani, Bombay; H. J. Brookes, St. Mary's Hos- areas in which the patients had previously resided. pital; C. F. W. Dunn, Cambridge and Middlesex Hospital;- C. F. The 35,573 births registered in London during the three months ending Eddowes, St. George's Hospital; S. H. Greene, Charing Cross March last were equal to an annual rate of 32 5 per 1,000 of the popula- Hospital; A. Hay, St. Bartholomew's Hospital; A. R. Hoare, St. tion. estimated at 4,392,346 persons in the middle of this year; this rate Thomas's Hospital; G. L. Meredith, London Hospital; H. Morris, almost corresponded with the mean rate in the first quarters of the St. Bartholomew's Hospital; A. Ross, Guy's Hospital; D. Steele, preceding five years, 1890-94, which was 32.6 per 1,000. The birth-rates Edinburgh. during the period under notice in the various sanitary areas showed, Chemistry.-H1. K. C. De La Motte, Charing Cross Hospital; E. Dodds, as usual, wide variations, owing principally to the differences in Sheffie1d; H. Greenwood. London lHospital; C. J. H. Riches, the sex and age distribution of the population. In Kensington, St. Middlesex Hospital; E. Ioxali, Birmingliam. George Hanover Square, St. James Westminster, Hampstead, St. Martin- Materia Medica and Pharmacy.-S. C. Hague, Manchester and Edin- in-the-Fields, London City, and Lee the birth-rates were considerably burgh; A. G. Lang, Guy's Hospital. below the average; while in St. Luke, Whitechapel, St. George-in-the- Materia Medica.-J. Freeman, Bristol. East, Limehouse. Mile End Old Town, St. George Southwark, and Pharmacy.-O. Hall, Durham. Bermondsey the birth-rates showed a marked excess. The 28,001 deaths of persons belonging to London registered during the quarter under notice were equal to an annual rate of 25.6 per 1,000; this death-rate exceeded that recorded in the corresponding period of any of the ten preceding years, with the single exception of 1892, when the rate PUBLIC HEALTH was as high as 27.8 per 1,000. During the March quarters of the ten preceding AND years 1885-94 themean death-rate was only23.0 per 1,000. The high death-rate in London last quarter was largely due to the influenzaepidemic. The lowest death-rates in the various sanitary areas were 15.7 in Hampstead, 18.1 POOR-LAW MEDICAL SERVICES. in Plumstead, 18.6 in Stoke Newington, 19.2 in Lee, and 21.4 in Lewis- ham and in Woolwich; the highest rates were 31.8 in Newington, VITAL STATISTICS OF LONDON SANITARY DISTRICTS DURING 32.9 in Limehouse, 33.0 in St. George-in-the-East, 33.3 in St. Saviour THE FIRST QUARTER OF 1895. Southwark, 33.5 in Holborn, 33.9 in St. Giles, 38 1 in St. Luke, and 36.9 IN the accompanying table will be found summarised the vital and in Strand. During the quarter under notice 1,677 deaths were referred mortal statistics of the forty-three sanitary areas of the metropolis, to the principal zymotic diseases in London; of these, 511 resulted from based upon the Registrar-General's returns for the first or winter whooping-cough, 420 from diphtheria, 300 from measles, 165 from dia.r- Analysis of the Vital and Mortal Statistics of the Sanitary -Districts of the Metropolis, after Distribution of Deaths occurring in Public Institutions, during the.First Quarter of 1895. Annual Rate per E " * * 1,OOOLiving. o Ela N. SANiTARay ARzAS. 042- ~ ~ ~ 0 0 M 0 of 4)~~~~~~ I 00.)' LONDON .. .. 4,392,346 35,873 28,001 32.5 25.6 1.6 1,677 10 300 141 420 511 1 '126 3 165 2,329 158 West Districts. Paddington . 122,756 790 749 25.8 24.5 1.0 31 - 12 4 8 3 - 1 - 3 54 162 Kensington .. .. 167,671 972 957 23.3 22.9 0.9 .39 - 3 2 11 8 - 7 - 8 75 157 Hammersmith.. .. 108,429 799 629 29.6 23.3 1,3 34 - 1 2 9 14 - 4 - 4 39 176 Fulham... .. .. 117,745 1,005 738 34.2 25.1 1.5 44 - 5 8 14 9 - 3 - 5 42 197 Chelsea . 99,930 758 690 30.4 27.7 1.5 37 - 4 4 8 12 - 3 - 6 62 154 St. George Hanover Sq. 74,037 361 485 19.6 24.7 1.2 22 - 2 1 3 13 - 1 - 2 28 188 - - - Westminster .. .. 54,003 349 388 25.9 28.8 0.7 10 - - - 5 5 - 39 183 St. James Westminster 23,14J 138 164 23.9 28.4 0.9 5 - - - 1 4 - - - - 9 210 North Districts. Marylebone .. .. 137,392 1,154 1,034 33.7 30.2 1.3 43 9 2 5 4 15 - 6 1 1 92 142 Hampstead . .. 77,592 373 303 19.3 15.7 0.8 15 - 4 2 2 2 - 3 - 2 19 139 St. Pancras ..233,543 1,8A7 1,549 31.7 26.6 1.8 106 - 8 13 22 47 - 7 - 9 122 175 Islington... .. .. 335,929 2,618 1,937 31.3 23.1 1.4 116 - 8 22 27 35 1 9 1 13 185 134 - Stoke Newington . 35,234 230 163 26.2 18.6 0.8 7 - 1 - 1 2 - 3 - 8 122 Hackney... .. .. 215,623 1,682 1,184 29.4 22.0 1.3 70 - 14 5 17 20 - 6 - 8 107 127 Central Districts. St. Giles... ..37,654 303 318 32.3 33.9 1.3 12 - 3 1 1 6 - - - 1 35 139 St. Martin-in-the-Fields 13,536 5k 85 16.0 25.2 1.8 6 - - - 4 2 - - - - 7 289 - - Strand ... .. 22,586 160 208 28.4 36.9 2.0 11 - 1 4 3 - 3 - 23 181 - - Holborn .. .. .. 32,188 229 269 28.5 33.5 2.1 17 - 11 1 1 1 - 3 29 210 - Clerkenwell .. 65,036 591 453 '36.5 27.9 1.9 30 - 3 6 18 - 2 - 1 38 176 - St. Luke... .. 40,763 532 367 52.4 36.1 1.8 18 - 1 2 3 11 - 1 - 30 141 - London City .. .. 33,824 148 241 17.6 28.6 1.2 10 - 1 1 2 1 - - 14 162 East Districts. Shoreditch .. .. 122,932 1,173 897 38.3 29.3 2.1 65 - 18 2 7 33 - 4 - 1 88 175 Bethnal Green .. .. 130,061 1,222 826 37.7 25.5 1.4 46 - 16 3 14 8 - 2 - 3 74 151 Whitechapel 75,820 774 517 41.0 27.4 0.8 16 - 5 - 5 3 - 2 - 1 61 123 St. George-in-the~-East 45,227 524 372 46.5 33.0 2.4 27 - 6 2 5 11 - - - 3 28 195 Limehouse 56,885 57.3 467 40.4 32.9 3.3 47 - 11 2 10 18 - 2 - 4 42 178 Mile End Old'Town 108,443 1,127 698 41.7 25.8 1.7 46 - 7 4 22 10 - - - 3 55 138 Poplar... ..171,230 1,704 1,198 39.9 28.1 2.9 124 - 47 9 33 23 - 4 - 8 81 163 South Districts. St. Saviour Southwark 26,570 23.5 210 35.5 31.7 0.6 4 - - 1 2 - - - - 1 22 204 St. George Southwark 60,168 611 500 40.7 33.3 1.1 16 - - 2 5 8 - 1 - - 56 191 Newington .. .. 119,358 1,120 946 37.6 31.8 1. 52 1 5 3 11 19 - 3 - 10 90 194 St. Olave Southwark 13,063 ill 96 34.1 29.5 1.2 4 - - - - 1 - 2 - 1 10 198 Bermondsey 83,861 902 585 43.2 28.0 1.0 20 - 3 3 2 5 - 3 - 4 56 142 Rotherhithe .. 40,713 376 246 37.1 24.2 1.7 17 - 1 1 3 6 - 3 - 3 22 168 Lambeth... .. .. 284,883 2,486 1,873 35.0 26.4 1.4 97 - 5 6 18 48 - 5 1 14 164 152 Battersea .. .. 165,130 1,377 922 33.4 22.4 2.2 90 - 22 4 23 28 - 6 - 7 71 1688 Wandsworth .. .. 185,956 1,230 1,086 27.8 23.4 1.0 48 - 11 3 11 6 - 8 - 9 67 129 Camberwell .. .. 252,737 1,946 1,485 30.9 23.6 1.5 94 - 5 8 42 15 - 9 - 15 127 164 Greenwich .. .. 175,183 1,443 1,064 33.0 24.4 2.1 92 - 23 3 38 17 - 4 - 7 66 139 Lee... .. .. .. 38,832 20.5 186 21.2 19.2 1.9 18 - 10 1 1 4 - 1 - 1 11 176 Lewisham .. .. 82,410 515 440 25.1 21.4 1.5 30 - 5 2 4 16 - 2 - 1 31 130 - Woolwich . .. 42,768 340 228 31.9 21.4 1.0 11 - 3 1 3 1 - - 3 26 176 - .. - - .Plumstead .. 61,494 526 278 34.3 18.1 2.0 30 - 17 4 8 - 1 24 116 2KDICAL JOURNALlI OBITUARY.