By Una MacLean (Auth.)
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Extra info for Social and Community Medicine for Students
In the expression of a rate, time is always included; if place can be denoted as well, the rate will often be still more valuable as it can then be compared with rates obtaining elsewhere and this information can have implications both for disease control and for investigations of causation. Geographical pathology is the name which is often given to the branch of epidemiology which is concerned with statements of disease incidence from different parts of the world or from different areas of the same country.
34 per 1,000. 67 per 1,000. The bias against infants born out of wedlock was most striking where immaturity was present but could be seen in connection with almost all the causes of death among children under one year of age. It is possibly of some interest that the very healthiest part of Britain today, in terms of this infant mortality index, is now the Outer Metropolitan Area of London, which could almost be equated to the situation of Surrey in William Fair's experience. Vital registration, which continuously accumulates records of births and deaths, can now confidently be left to a docile and sensible citizenry.
Finally, at the other end of the scale, there are, in a city like Ibadan, capital of the Western Region of Nigeria, all the manifestations of modern medicine. The large and elaborately equipped University College Hospital, is a teaching institution which, in respect of staff, facilities and research output, compares favourably with its British counterparts. m. m. Out-patient clinics there are overcrowded, the staff are short of time, records are negligible and research is barely possible. There are in addition about a dozen doctors in general practice (many of whom run their own expensive private nursing homes and operating theatres), together with child welfare clinics, a small Catholic mission hospital for women and children and several ethical pharmacists.