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Table 5 contains a statement of the new cases attended by the District
Medical Officers, as entered by them in their books. I am unable to give
the particulars of the first and second quarters of the Second and Fourth
Districts, as the Medical Officers' books for those quarters are filled up,
and consequently not sent to the Guardians. After many applications, 1
have failed to obtain access to them.
I have not compiled any statistics respecting the "Workhouse. After
the very able report of Dr. Smart, they would superfluous. That
report I herewith give in extenso, with the exception of thcJTables stating
the causes of and ages at death, which are embodied in my own.
On the 1st of January, 1866, the number of eases on the Medical Relief Book was
425 ; from the 1st of January to the 31st of December, the number of fresh eases admitted
to the Sick Wards was 2,215, making a total of 2,640 cases under medical treatment
during the year; being a very great increase upon those admitted in previous years.
Thus, in 1863, the number of netv cases was 1,327 ; in 1864, 1,404 ; in 1865, 1,614 ;
and in 1866, 2,215—shewing an increase over 1863 of 888. Of tho 2,G40 cases, 1,826
were discharged cured or relieved; 336 died; 478 remain under medical treatment.
The class of cases were of the ordinary charactcr admitted into Workhouse Infirmaries
(excepting Cholera and Small Pox), such as Consumption, Bronchitis, Asthma, Paralysis,
Old Age, Chronic Rheumatism, Disease of the Heart, Destitution, &c., &c.
The Deaths in 1865 were 249; in 1866, 344. The oldest person that died in 1865
was 94 years ; in 1866, 104 years : both females.

The number of stillborn children in 1865 was 14 ; in 1866, 5. In nearly all these
eases the mothers were suffering from Syphilis.
Small Pox.—In June and July we were compelled to admit Small Pox cases, in consequence
of the Small Pox Hospital being full. The Male and Female Receiving Wards
were appropriated to these cases—12 were admitted : 6 adult males, 4 adult females, and
2 children. The adults had been vaccinated, the children had not; they all did well.
Most of them were confluent, and of a bad character, requiring good nourishing diet, porter
and quinine.
Cholera.—In the month of July an outbreak of Cholera occurred in the east-end of
the metropolis; and among the first to feel its effects was the Parish of Bethnal Green,
more especially the eastern end. The Workhousc,for some considerable time, was the only
place in the Parish for the reception of such cases. The first was admitted into the
South Lodge on the 12th day of July. The patient, a bricklayer, stated he had walked