Annual report for 1893 of the Medical Officer of Health.

  • Chelsea (London, England). Parish. Vestry.
Date:
1894
Catalogue details

Licence: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)

Credit: Annual report for 1893 of the Medical Officer of Health. Source: Wellcome Collection.

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    4 also a somewhat smaller proportion of old people over 55 years, than is the case in all England. Table I. showed that the proportion of females to males is also a little greater in London and in Chelsea than in the whole of England. These facts are of importance in their bearing upon death-rates. The death-rates of children under 5 years and of old people over 55 years, are very greatly in excess of the death-rate for all ages. The death-rates of females also are at all ages lower than the cor responding death-rates of males. Consequently no comparison ought to be instituted between the death-rates of different districts, unless the age and sex distribution of the populations is identical or very nearly so ; or unless a correction has been made for differ ences of age and sex distribution. The average death-rate of England and Wales during the 10 years 1881-90, was 19*149 per 1,000. If the death-rate of England and Wales for each sex at twelve different age-periods during this period is applied to the London population with age and sex dis tribution, as shown by the 1891 Census, a death-rate for all ages of 17.974 per 1,000 is obtained, which is 1.175 per 1,000 lower than that of all England—this difference being due to the proportional ages and sex of the population in London differing from those obtaining in the whole of England. Consequently, when comparing the death-rate of London with that of England and Wales, the former should be corrected by multiplying it by the factor 1-06537. The factor for correcting the Chelsea death-rate is 1.06555 which is so nearly identical with the London factor as to show that the death-rates of Chelsea and London are fairly comparable with each other without correction. The death-rates of other parishes in London may have to be corrected for comparison with London. For instance, the correc tion factor ofSt. George's, Hanover-square, is 1.10547, showing that its age and sex distribution is favourable to a lower mortality than that of all London, whilst some East-End and working-class parishes must have their uncorrected death-rates multiplied by a factor which is less than unity, in order to make them fairly comparable with the death-rate of the metropolis. BIRTHS AND BIRTH-RATE FOR 1893. Table III. gives the births and birth-rate per 1,000 per annum in each district of Chelsea, in the whole parish, and in London. Table III. Number of Births. Birth-rate per 1000. Chelsea North 1,265 30.6 Chelsea South 863 25.9 Kensal Town 726 31.2 Whole Parish 2,854 29.2 London 132,965 31.0
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