London's Pulse: Medical Officer of Health reports 1848-1972

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City of London 1866

[Report of the Medical Officer of Health for London, City of]

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21
it was no less than 235. So also in the visitation
of 1848-9, the mortality in London was but 62
per 10,000, although at Liverpool it was 163, at
Hull 236, at Belfast 154, at Limerick 11.4, at New
York 112, at Cologne 138, at Paris 182, at Cairo
205, at Alexandria 236, at Riga 316, at Stockholm
452, and at Cronstadt 546.
A like difference was observed in the epidemic
of 1854, and now also in the epidemic of 1866.
As in former visitations of the disease, the
epidemic has been singularly local—occurring with
greatest severity in low lying districts, with a sodden
soil and having a dense and poor population. In
the epidemics of 1849 and 1854, the great ravages
of the disease were within nine well defined regions,
which the Registrar-General has aptly termed
cholera fields; and there, among a population of
about seven millions, the mortality was at the rate
of 65 per 10,000 of the people in 1849, and 21 per
10,000 in 1854; while in the rest of England it
was only at the rates, respectively, of 6 and 4 per
10,000.
The same fact, namely special localisation of
the disease, has been observed in every large city.
In London, for instance, the death-rates in the