Mortality from Rheumatic Heart Disease in Children and Young Adults in England and Wales

no difference was found in overcrowding levels between rheumatic and non-rheumatic families, and Morris and Titmuss, comparing the mortality rates from heart disease in regions of England and Wales, foundthe correlation with overcrowding incon- clusive. Savage (1931) also found no significant association between the incidence of rheumatic heart disease and crowding but, on the other hand, Perry and Roberts (1937) showed that the incidence of rheumatic heart disease in different wards of Bristol was highly and significantly correlated with the average number of persons per room. Daniel, in his more detailed study of the same city, confirmed this relationship. Clarke (1940) considered that in Dublin juvenile rheumatism was not essentially a disease of poverty but coincided with overcrowding and proximity to low-lying areas

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