10 research outputs found

    The geography of early childhood mortality in England and Wales, 1881-1911

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    BACKGROUND Considerable regional variation existed in 19th century infant mortality (IMR) in England and Wales. OBJECTIVE This study estimates early childhood mortality (ECMR) for over 2,000 registration sub-districts (RSDs) of England and Wales and analyses spatial and temporal variations in IMR and ECMR between 1881 and 1911. METHODS The combination of mortality statistics from the Registrar General and individual-level census data from the Integrated Census Microdata (I-CeM) project is used to estimate spatial models of the relationship between early childhood death rates and a range of district specific contextual variables. RESULTS All regions of England and Wales experienced noticeable decline in early childhood mortality but the spatial patterns were remarkably persistent, with high mortality in London and in the mining and textile centres. The earlier decline of childhood than infant mortality produced a widening gap between them, and in early phases this development was concentrated along the East-Midlands coastal area from Suffolk to North Yorkshire, and in mid-Wales. This gap continued to widen and in 1911 IMR was at least twice as high as ECMR in most parts of England and Wales. CONCLUSION The changing spatial pattern of ECMR was influenced by a set of factors over and above those which influenced IMR, and these were related more to the disease environment than to social and economic influences. CONTRIBUTION These new estimates of early childhood mortality, at a finer spatial scale than previously possible, highlight the vast spatial variation in mortality in England and Wales. It is likely that these regional differences also manifest in changes in other demographic outcomes

    Demographic and Socio-economic Data for Registration Sub-districts of England and Wales, 1851-1911

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    Abstract copyright UK Data Service and data collection copyright owner.This dataset contains a variety of measures of fertility, marriage and infant and child mortality, and also a range of socio-economic indicators (related to households, age structure, and social class) for the 2000+ Registration Sub Districts (RSDs) in both England and Wales, for each census year between 1851 and 1911. The measures have mainly been derived from the computerised individual level census enumerators' books (and household schedules for 1911) for England and Wales enhanced under the I-CeM project. I-CeM does not currently include data for 1871, although the project has been able to access a version of the data for that year it does not contain information necessary to calculate many of the variables presented here. Users should therefore beware that 1871 does not contain data for many of the variables. Additional data, for some indicators, has been derived from the tables summarising numbers of births and deaths by year and areas, which were published by the Registrar General in his quarterly, annual and decennial reports of births, deaths and marriages. Main Topics:Fertility, Infant mortality, Child mortality, Nuptiality, Illegitimacy, Household indicators, Socio-economic status, Age-structure.</p

    Bounce backs amid continued losses: Life expectancy changes since COVID-19

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    The COVID-19 pandemic triggered an unprecedented rise in mortality that translated into life expectancy losses around the world, with only a few exceptions. We estimate life expectancy changes in 29 countries since 2020, including most of Europe, the US and Chile, attribute them to mortality changes by age group, and compare them to historic life expectancy shocks. Our results show divergence in mortality impacts of the pandemic in 2021. While countries in Western Europe experienced bounce-backs from life expectancy losses of 2020, Eastern Europe and the US witnessed sustained and substantial life expectancy deficits. Life expectancy deficits among ages 60+ were strongly correlated with measures of vaccination uptake. In contrast to 2020, the age profile of excess mortality in 2021 was younger with those in under-80 age groups contributing more to life expectancy losses. However, even in 2021, registered COVID-19 deaths continued to account for most life expectancy losses

    An introduction to the history of infectious diseases, epidemics and the early phases of the long‐run decline in mortality†

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    This article, written during the COVID-19 epidemic, provides a general introduction to the long-term history of infectious diseases, epidemics and the early phases of the spectacular long-term improvements in life expectancy since 1750, primarily with reference to English history. The story is a fundamentally optimistic one. In 2019 global life expectancy was approaching 73 years. In 1800 it was probably about 30. To understand the origins of this transition, we have to look at the historical sequence by which so many causes of premature death have been vanquished over time. In England that story begins much earlier than often supposed, in the years around 1600. The first two 'victories' were over famine and plague. However, economic changes with negative influences on mortality meant that, despite this, life expectancies were either falling or stable between the late sixteenth and mid eighteenth centuries. The late eighteenth and early nineteenth century saw major declines in deaths from smallpox, malaria and typhus and the beginnings of the long-run increases in life expectancy. The period also saw urban areas become capable of demographic growth without a constant stream of migrants from the countryside: a necessary precondition for the global urbanization of the last two centuries and for modern economic growth. Since 1840 the highest national life expectancy globally has increased by three years in every decade
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