Cholera and the Water Supply in the South Districts of London in 1854 — John Shaqi
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
thirteen and fourteen times as fatal to the population having the impure
water as to that having the improved supply. It is particularly worthy
of remark that, during the four weeks of the epidemic we are now
considering, there were but 563 deaths from cholera in the whole
metropolis, of which 286, or more than one-half, occurred amongst the
customers of the Southwark and Vauxhall Company, who comprise a little
more than one-tenth of London, and a considerable number of the
remaining deaths took place amongst mariners, and others employed
amongst the shipping, who almost invariably draw their drinking water
directly from the river; it is, therefore, evident that at this early
period of the epidemic the impure water of the Thames was almost the
exclusive means of the propagation of the malady.
In the next three weeks of the epidemic there were 1,180 deaths from
cholera in the districts supplied by the two water companies. Of these,
the fatal attack took place in 977 cases in houses supplied by the
Southwark and Vauxhall Company; in 84 cases in houses supplied by the
Lambeth company; in 101 instances the supply was from some other source;
and in 18 cases it could not be ascertained, for reasons previously
stated. Taking into account the population supplied respectively by each
company, the mortality was, at this period of the epidemic, nearly eight
times as great in that supplied by the Southwark and Vauxhall Company as
in that supplied by the Lambeth Company.
During the last ten weeks of the epidemic, from August 27th to November
4th inclusive, 3,564 deaths occurred in the districts to which the
supply of the two water companies extends, and the returns of the
district registrars showed that in 2,443 cases the water supply of the
house in which the fatal attack took place was that of the Southwark and
Vauxhall Company; in 313 cases it was that of the Lambeth Company; in
207 instances the supply was from pump wells and other sources
independent of the two water companies, and in 601 instances the supply
was not ascertained.[4] These numbers show a mortality of 916 to each
100,000 inhabitants supplied by the Southwark and Vauxhall Company, and
180 to each 100,000 supplied by the Lambeth Company; consequently, at
this period of the epidemic, the mortality was still more than five
times as great amongst the population supplied by the former company as
amongst that supplied by the latter.
Public-domain text, read in full here on John Shaqi.
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