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that an amount of work (comprising a total of 5603
orders issued and completed) unprecedented in any
previous year, or probably number of years, has been
effected in that department.
Altogether, I think you will consider that a large
amount of good work has been done, and if we may
judge of its necessity and effects by the mortality from
zymotic diseases, especially during the second half of
the year, (Table III.), then all the sanitary measures
have been fully justified, and their effects eminently
satisfactory.
It is not necessary that I should specially refer to
the Cholera epidemic of last year, having already presented
a special report thereon.
Births and General Mortality.
Table I. shows the total number of births and deaths
for the year, with and without cholera, and for four
preceding years. The births are above the average,
though slightly lower than the year immediately preceding
; the latter circumstance may be reasonably
attributed to the epidemic of last year.
The excess of births over deaths (including cholera)
for the year ending March, 1867, was 809, and of 1488
over what would have been the normal mortality, in
the absence of cholera. The birth rate upon the population
of the Hamlet was 3.753 per cent.; the rate for
the whole of England was 3.537 per cent., proving the
birth rate of Mile End about one quarter per cent.,
higher than that for the whole country. In addition
to this, the population of the Hamlet has been very
largely and respectably increased by immigration, as
shown by the occupation of vast numbers of new houses
which have been built. All this proves what I have