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ANNUAL REPORT
MADE TO
The Board of Works for the Lewisham District,
FOR THE YEAR 1866,
BY
F. E. WILKINSON, M.D., L.R.C.P.E., M.R.C.S., L A.C.,
Medical Officer of Health for the Lewisham District;
Mi heal OJficrr to North Surrey Dittriet School;
Surgeon P Division of Police.
In accordance with the provisions of the 43rd section of
the Metropolis Local Management Act, 1862 (25 and 26
Vict., chap. 102), it again becomes my duty to present to you
a Report lor the year 1866, and in so doing, I propose to
consider
1. The population of the district, based upon the censuses
of 1851 and 1861, with the estimated population to the middle
of the year 1866.
2. The number of births and deaths registered in the
district during the year ending December, 1866.
3. The causes of deaths.
4. The estimated rate of mortality per 1,000.
5. The diseases which have affected the population directly
and indirectly, with notes and remarks upon cholera, cattle
plague, &c.
In making an estimate of the population of the district; as
the rate of increase between the censuses of 1851 and 1861
does not appear to form a reliable basis for calculating the increase
of population during the past six years, in a fluctuating
population, such as Lewisham Parish and Penge, it has
been considered that the most useful and trustworthy estimate
would be that upon the number of inhabited houses as ascctained
by the rate-book, calculating the same average mumber