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line between the Severn and the Wash, with the exception of Edinburgh for infant girls. This
divide reflected the living standards of the parents of infants across Britain at that time, their
levels of nutrition, whether their homes were damp, levels of overcrowding, and so on.
Forty years later, as Figure 12.2 shows, the map has not altered greatly, despite huge
reductions in the national rates of infant mortality and great improvements in general levels
of nutrition, housing conditions and overcrowding. This is because the relative differences
between the standards of living in the North and South have not narrowed. There has been
a concentration of the areas with the highest rates of infant mortality into northern English
cities, and two affluent places in the north (small towns in Cheshire and parts of Rural
Derbyshire) now have some of the lowest rates.
Figure 12.3 shows mortality rates for boys and girls aged 1 to 4 between 1950 and
1953 with Figure 12.4 showing these same rates forty years later. Again the North—South
divide is evident, although slightly less clear cut. Part of the reason for this is that, particularly
in the later period, this is the age group in which mortality is least common and so a few
extra deaths occurring in any one year can alter the overall picture. The congenital conditions
which lead to the majority of infant deaths are no longer so vital for this age group and low
rates can now be seen west of the Penines as well as in the South and in Edinburgh, as
before. However, by 1990–2 rates in two of the poorer London Boroughs come to be within
the top ten areas for boys aged 1 to 4, while in the North rates are generally only low outside
of the larger towns. The relative deterioration of infant health in London will be seen later to
be reflected by a new concentration of ill health for adults in the capital city by 1992.
Figures 12.5 and 12.6 show the rates for the next age group of children aged 5 to 14
in 1950–3 and 1990–2. Again the North-South divide is evident, although rates are low in
the 1950s in small towns in Durham, the West Riding, Lancashire and Cheshire. All high
rates are again north of a line between the Severn and the Wash. Fifty years on the pattern is
similar, although rates in the small towns of Wiltshire (principally Swindon) and in the old
London Borough of Deptford are now in the top ten. Accidental death is a major factor for
this age group, often including road traffic accidents. But again this is not a random toll. A
child’s chances of being killed by a car are strongly related to their social advantages and
disadvantages, as we discuss later.
For young adults Figures 12.7 and 12.8 also show an extremely strong North-South
divide for both the 1950s and 1990s. Initially, only in the rural districts of the West Riding
and Lancashire were young adult mortality rates low in the North. Forty years later the
greatest change has been the sudden concentration of areas of high mortality into six London
Boroughs. Of all the age-sex groups we are examining here, men aged 15–44 have seen the
worst improvement in their overall chances in recent years, with their death rates now actually
rising in many areas. This rise has followed the pattern of high unemployment in Britain—
the relatively new concentration of mass unemployment and poverty within London has led
to this geographical concentration.
For older adults aged 45–64 the story is quite different, as Figures 12.9 and 12.10
show. The North-South divide is almost as clear as for infants in the 1950s, with only the
rural districts of the West Riding bucking this trend. However, by the early 1990s this anomaly
has disappeared and the country is clearly divided between northern cities where the old die
young and the generally rural areas of the south where they are more likely to live to healthy
old age. Compare Figures 12.1 and 12.10, infant mortality in the 1950s and older adult
mortality in the early 1990s. Notice any similarities? In general, the children who were least