“As a general rule, when the mortality from cholera attained a very high
rate, the number of deaths among females exceeded the deaths among
males.
“In London a remarkable change was observed in the proportion of the
sexes affected in the course of the epidemic. In four weeks of October
1848, the deaths of 80 males and of 42 females by cholera were
registered; in the thirteen last weeks of the year the deaths of 258
males and 210 females were registered; and there was an excess of males
at all ages, but particularly in the ten years of age 15–25. In the
quarter ending March 1849, the deaths of males amounted to 250, of
females to 266: at the age of 25 and upwards the excess of deaths among
females was considerable. In June, at the commencement of the great
outbreak, the males again furnished the most numerous victims. At the
close of July the females died in greater numbers than the males, and
continued to do so to the end. In the week that the mortality was
highest, the deaths of 895 males and of 1131 females were returned. In
the September quarter the deaths of males under the age of 25 exceeded
the deaths of females; but after that age the proportions were
reversed.”
[Sidenote: PROPORTION OF THE SEXES WHO DIE OF CHOLERA.]
The greater part of the female population remain almost constantly at
home, and take their meals at home, whilst a considerable number of the
men move about in following their occupations, and take both food and
drink at a variety of places; consequently, in the early part of an
epidemic, when the disease only exists in a few spots, the male part of
the population is most liable to come within the operation of the morbid
poison; but at a later period of the epidemic, when the cholera is more
generally diffused, it may reach those who stay at home as readily as
those who move about; and in addition to the risk which the women share
with the men, they have the additional one of being engaged in attending
on the sick.
It is a confirmation of this view of the matter that, when the cholera
poison is distributed through the pipes of a Water Company, the above
rule does not hold good, but a contrary one prevails, owing, probably,
to females being less in the habit of drinking beer than men, and being
therefore more likely to drink water. Of the 334 deaths detailed in the
Appendix to this work (286 of them amongst the customers of the
Southwark and Vauxhall Water Company), only 147 were males, whilst 187
were females. The deaths occurred in the first four weeks of the recent
epidemic. On the other hand, out of the 229 deaths from cholera which
occurred in all the rest of London during this period, 140 were males
and only 89 females. When the mortality of the whole of the metropolis
during this period is taken together, there is a slight preponderance on
the part of the males; the numbers being,—males 287, females 276: total
563.
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