Letter to the Editor by Robert Bowie, The Times of London, March 12, 1832.
This letter from Robert Bowie discusses cholera, which first reached
Epidemic or Asiatic Cholera is an acute illness which is characterized by vomiting, diarrhea, and cramping. Left untreated, 40-60% of patients die as a result of severe dehydration and shock, often within hours of onset of symptoms. Cholera is contracted through food or water contaminated by the Vibrio cholerae bacterium (OED, CDC).
The cholera epidemic of 1831-1832 was the first of multiple cholera epidemics to occur in
The miasma theory also seemed to explain why people in the working- and lower-classes were stricken with cholera at a greater rate than the rest of the population. The emergence of social medicine, which describes how social factors affect health, matched well with this disease which seemed particularly cruel to poor people, who lived in close (and often not especially clean) quarters (Wikipedia). It was not until John Snow’s studies in 1849 that the reality was suggested: cholera, spread by water (not infected air), infected the lower classes at the rate it did because more people would depend on the same infected water source. Snow’s findings were a result of studies during the second cholera epidemic which struck a decade into the Victorian Period. His theory of mode of communication for cholera was essentially unproven and therefore doubted, until his findings proved useful to aid preventative measures during the third cholera epidemic, in 1854 (Snow 11-13).
The letter to the editor from Robert Bowie essentially reiterates all of the misconceptions about cholera that lasted well into the Victorian Period. Bowie, a surgeon, writes of a “cholera ship” called the
Robert Bowie cites fear as a major cause of mortality with the illness. He remarks that because of the claim of a contagion associated with cholera, people are afraid to help the ill for fear that they might contract the illness themselves. While it is now clear that this is not the case, at the time many people in any area would often fall ill at the same time, a fact that perpetuated the contagion theory.
Robert Bowie’s decision that manure was responsible for the epidemic was aligned with the rest of the medical community until John Snow proved otherwise. Manure, with its “most offensive effluvia” (
The people of
Bowie, Robert. Letter. Times of
“Cholera.” Division of Bacterial and Mycotic Diseases. 6 October 2005. Centers for Disease Control and Prevention. 11 February 2008 <http://www.cdc.gov/ncidod/dbmd/diseaseinfo/cholera_g.htm#How%20does%20a%20person%20get%20cholera>.
"Cholera." The
“Cholera Epidemic of 1831.” Wikipedia: The Free Encyclopedia. 8 November 2007. 10 February 2008. < http://en.wikipedia.org/wiki/Cholera_epidemic_of_1831>.
"Contagion." Dictionary.com Unabridged (v 1.1). Random House, Inc. 11 Feb. 2008. <Dictionary.com http://dictionary.reference.com/browse/contagion>.
"Effluvia." Dictionary.com Unabridged (v 1.1). Random House, Inc. 11 Feb. 2008. <Dictionary.com http://dictionary.reference.com/browse/effluvia>.
Hayward, Andrew. Cholera-History.
Higgens, Robert McR. “The 1832 cholera epidemic in
Snow, John. On the Mode of Communication of Cholera. Oct. 1849: 1-13. 10 February 2008. <http://www.deltaomega.org/snowfin.pdf>.
“Social Medicine.” Wikipedia: The Free Encyclopedia. 8 July 2007. 11 February 2008. < http://en.wikipedia.org/wiki/Social_medicine>.
Torgerson, Beth. Reading the Brontë Body: Disease, Desire, and the Constraints of Culture.
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