Serendipity: Cholera vs Coronavirus

Lambeth Cholera Outbreak 1848-49

The more things change, the more they remain the same. The following is from A N Wilson’s The Victorians describing the outbreak of cholera in London in the late 1840s.

It was not until the cholera microbe was isolated and identified by Koch in 1883 that [Dr John] Snow’s brilliant hunch—turning to circumstantial deduction—was proved. Snow tried—and [Edwin] Chadwick too—to spread the gospel of cleanliness as a guard against water-borne disease: the creation of good drains; lodging houses for vagrants; public washhouses; quarantine for local visitors. The coal-miners were the group that suffered more from cholera than any other—Snow urged that their work conditions be divided into four-hour shifts so that they did not need to use the coal pits as privies. In parts of London where the classes washed their hands—Belgravia—the rate of death by cholera was 28 in 10,000, compared with 186 per 10,000 in poorer districts. But, of course, such measures could not be introduced without control, and—as in the case with the Irish [potato] famine—the true laissez-faire liberal would, quite literally, prefer death to state interference. [Italics mine]