The effect of migration or of emigration, in disturbing the results of returns of the average ages of death in particular localities appears to be commonly much exaggerated.
As formerly, when navy surgeons, overlooking the filth of their ships, which has since been removed, and not perceiving the effects of the atmospheric impurities arising from the overcrowding, which have since been diminished by better ventilation, directed their whole attention to supposed distant causes and mysterious agencies, and were wont to ascribe the whole of the fever which ravaged a fleet to infection from some casual hand, who was found to have been received on board from some equally filthy and ill kept prison where the “gaol fever” had been prevalent; so now, in some of our towns, we find much ingenuity exercised to avoid the immediate force of the facts presented by such returns, by a search for collateral and incidental defects in them. Thus in Liverpool the whole of its vast excess of mortality has been charged upon the poorer passengers who pass through the port. In other towns also, all the excess of deaths from epidemic or infectious disease is charged upon the vagrant population. In New York and some of the American cities, where inquiries have been stimulated by the example of the sanitary inquiry in this country, a common observation made on the proved excess of mortality is, that a large proportion of “foreigners” frequent the city. An inquiry into the cases themselves would generally show that if, instead of the proportion of the immigrant population being: a small per-centage, it formed a very large proportion of the population included: still the proportion per cent. of sickness and mortality, from consumption and other diseases, amongst the resident population, is the greatest; and that even in lodging-houses the disease roost frequently appears first in the occupants who are stationary, and last in the new comers. In some badly conditioned districts, where there is a very severe mortality observable on children, a less proportionate amount of mortality prevails amongst the adults who are migrant, than on other adults resident in somewhat less depressed districts, but who are more stationary. Of all classes (unless it be the higher classes who resort to watering-places) it is not the sickly and the weakly who travel for subsistence as handicraftsmen, or for subsistence in commerce, but the healthy and robust. In so far as the general results of mortuary registration of any district are disturbed by a population who are migrant (who are not only above the average strength, but who generally come with the additional advantage of health by travel in the open air and in a purer atmosphere), they are usually disturbed by unduly raising and giving the locality an appearance of an average of health, and the fatally deceptive chances of longevity that do not belong to it Whilst therefore the localities gain by the average health and strength of the migrant population, other districts have the credit of a share of the excess of disease and mortality which really belong to unhealthy localities. In other words, the population migrating through such districts carry away more disease and mortality from the crowded districts than they take into them. If there had been a mortuary registration at Walcheren, or any pestilential stations productive of an excessive mortality in the army, the registries probably would not have given the localities credit for more than half the mortality which belonged to them. The real sickness and mortality of the more depressed town districts are often made to appear lower than they are by the number of cases treated in distant workhouses, hospitals, and dispensaries, for which no credit is given to the locality where the cause of death occurred.
It would doubtless proportionately enhance the value of such returns as those in question, if the rule were fully carried out that “the population enumerated must always be precisely that which produces the deaths registered;” the grand desideratum being, as expressed by Mr. Milne, for insurance purposes, “to determine the number of annual deaths at each age which takes place among the living at the same age;”[[43]] but the facts cited of the greater proportion of adults, and of health in those adults who are immigrant, will answer the objections to the superior applicability to local or class insurance tables, deduced from actual local observation of the local rate of mortality prevalent amongst that population, whether migrant or stationary, and without reference to the actual ages of the living (though that were desirable), compared with deductions from any general insurance table, i. e. the experience of a distant and wholly unconnected population. Deductions from tables, however correctly made from the experience of other towns, must he, and are proved, by such experience as that hereafter cited, to be merely “guess-work.” Vide ‘General Sanitary Report,’ pp. 218, 219. For myself, I make it a general rule of precaution neither to receive nor adduce statistical returns as evidence without previous inquiry, wherever it is possible, into the particulars on which they are founded, or with which they are connected. I adduce them less as principal evidence, proving anything by themselves, than as proximate measures, or as indications of the extent of the operation of causes substantiated by distinct investigations. The general conclusions which the facts that have come to my knowledge tend to establish on the subject of the experience of mortality are, that there is no general law of mortality yet established that is applicable to all countries or to all classes, or to all times, as commonly assumed; that every place, and class, and period has rather its own circumstances and its own law, varying with those circumstances; that the actual experience of any class or place, or period, even with the disturbance of any ordinary amount of migration, or immigration, or any ordinary influx of young lives from births, is a safer guide than any experience deduced from the experience of another people living at another time and place, or any assumed general law.
For many public purposes, I have submitted it as a desideratum that population returns should give not merely the numbers of each class, or of those engaged in each distinct occupation, which only enables us to resort to the fallacious standard of the proportionate numbers of deaths, to judge of the mortality incidental to the class, but the total ages of each class, which would serve as an index of alterations in the sanitary condition of that same class. Such returns of the total ages should, for the public use, be reduced to their simplest proportions. In the form in which they are usually given, only in intervals of quinquennial or decennial periods, they are extremely meagre, and involve so much inaccuracy in any attempts that might be made to use them, for the purpose of comparing district with district, as to be generally useless. Whereas, if the ages of any class, or of the general population living in any district, and the ages of those of them who die, were reduced to the simplest proportions—that is, if the total years of age, whether of the living or dying, were divided by the total number of individuals from which the returns were made, the public would be enabled to make comparisons between district and district, and to judge of the relative degrees of pressure, in each, of the causes of mortality. As the simple proportions of average ages of the living have not yet, that I am aware of, been used, or even calculated in any instance, I beg leave to exemplify them.
Mr. Griffith Davies is theoretically of opinion, on a formula of De Moivre, that in general the average age of death in any community is necessarily higher than the average age of those living in the same community: and that in a stationary population the average age of death will, under ordinary circumstances, be in the ratio of 3 to 2 higher than the average age of the living. I have had the average age of the living population, on which the experience embodied in the Carlisle Insurance table was founded, calculated: and if that may be considered to have been a stationary population, the proportion of the ages of the living to those of the dying was practically as about 3 to 4: for whilst the average age of the dying was 383
10, the average age of the living population was 329
10. The average age of the dying in Hereford, in which the increase of population had been very slight, was 39. But the average age of the living population, so far as it can be made out from quinquennial returns, was 28 years and 5 months. On this and all returns of the ages of the living, in the mode in which the returns have been collected, allowance must be made for understatements of ages by some of the adult members of the community. On the whole, the proportion of the ages of the living to the dying appears to be in an ordinarily healthy and stationary community, as about 3 to 4.
As yet the observations have not been on a sufficiently wide basis; but it appears that wherever there is any divergence between the average ages of the living and the average ages of the dying, the divergence beyond their natural proportions may be taken as indicating the proportionate operation of some disturbing cause upon either line, as by some extraordinary increase of births, or by immigration or emigration, on the average ages of the living, and on the line of the average ages of the dead.
So far as I have been enabled to observe or collect from the extremely imperfect data at present available to the public service, the line of the average ages of the living is comparatively steady; the disturbances by migration and immigration which often compensate each other, for the same place and period, being much the same at different periods, and seldom affect the results materially, whilst the variations in the pressure of the causes of death from year to year, are usually considerable, and warrant the assumption that in general the disturbances occasioning the divergence described, are from the operations of causes of death upon that line. Wherever the pressure of the causes of death has yet been observed to be very great, there the line of mortality, or the average age of death, is below, what may be called, the line of vitality constituted by the average age of the living; and wherever there is on the whole any diminution of those causes of death, as by better ventilation, or by widening streets, opening new thoroughfares, better supplies of water, sewering and cleansing, and improvements in the general habits of the population, there the line of mortality, the infantile mortality especially, diminishes, the average age of each adult class, up to sexagenarians or octogenarians, increases, and the average age of death ascends above the average age of the living. The means of observation are as yet too few to elicit more than indications for the guidance of sustained investigation, to determine whether the divergence of the two lines may be reduced to any rule.
In Liverpool,—where the investigations into the condition of the resident cellar population certainly show an increase of the causes of death,—overcrowding, defective ventilation, bad supplies of water, and increased filth,—the average age of death is, for the whole town, 17 or 18 years only, whilst the average age of the living population, so far as it can be made out from the mode in which the census is prepared, is 24 years. As far as can be ascertained by reference to previous registries of one large parish, where the ages of the dead were formerly entered, the average duration of life in that town has gradually fallen. The average ages of all who were buried in St. Nicholas parish between the years 1784 and 1809 was 25.
In Manchester, the average age of the living is 25 years, but the average age of the dying is only 18. In Leeds, the average age of the living is also 25 years, but the average age of the dying is only 21.
| Years. | Months. | |
|---|---|---|
| The average age of all who live in the town parishes of Middlesex, so far as they can be made out from the only available materials,—the returns in quinquennial periods,—is only | 26 | 2 |
| But the average age of all who die, judging from one year’s return, appears to be about | 27 | 0 |