Cholera and the Water Supply in the South Districts of London in 1854Snow, John
History
Cholera and the Water Supply in the South Districts of London in 1854
Snow, John
Cholera -- England -- London -- Epidemiology; Water-supply -- England -- London
At the latter part of 1854, the General Board of Health procured from
the two water companies, by order of the Secretary of State, a list of
all the houses which they supplied, which lists are very valuable, as
affording the means of ascertaining the exact water supply of each
district and subdistrict separately. By direction of the Scientific
Committee of the Board of Health, the lists have been employed in making
a supplemental inquiry into the effect of the water supply on cholera.
For this purpose they were compared with the lists of deaths at the
General Registrar Office, and the results have been embodied in the
recent Report of Mr. Simon, previously referred to. There are, however,
certain circumstances, which were probably unknown to the Scientific
Committee, and which render it impossible that an inquiry, conducted in
this manner, could do more than approximate to the truth; and show why
it can bear no comparison in point of accuracy to a personal inquiry,
made on the spot, at the time of the epidemic. In the first place,
throughout the greater part of Lambeth, Newington, and the Borough, the
houses are either without numbers, or numbered very irregularly, and the
numbers are liable to frequent change, as new houses are built, or older
ones repainted; there are also frequently repetitions of the same number
in the same street, and although, in some instances, the companies have
returned the names of the occupiers, that can be of no assistance in the
case of the poor, who occupy but one or two rooms, and form the greater
bulk of the population. In the next place, the poor often furnish,
unintentionally, a wrong number to the registrar, even when the houses
are regularly numbered. They know their own homes perfectly, but, having
no occasion to refer to the number, they partially forget it; and, in
the greater number of my personal inquiries, I had to call at two or
three houses before I found the one in which the death occurred. For
these reasons it follows that, in comparing the lists of the water
supply with the lists of deaths, many errors must have occurred; and as
the deaths were six times as numerous in the houses supplied by the
Southwark and Vauxhall Company as in those supplied by the Lambeth
Company, the evident result would be that out of every six mistakes five
would transfer a death from the former company to the latter, and only
one would transfer a death from the latter company to the former.
Another source of error, but operating to a less extent, is, that a
number of persons who were attacked with cholera in houses supplied by
the Southwark Company died in the workhouses of St. Saviour’s, Lambeth,
and Newington, which were supplied by the Lambeth Company. It need
excite no surprise, therefore, that the supplemental inquiry, embodied
in the recent Report, instead of showing a mortality of 160 and 27 for
the population supplied by the two water companies, or a difference of 6
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account