The 1832 Sligo cholera outbreak was a severe outbreak of cholera in the port town of Sligo in northwestern Ireland. [1]
The outbreak resulted in an official total of 643 deaths, out of a population of 15,000. [2] However, the official figures are considerably lower, as only Fever Hospital deaths were recorded. [1]
The outbreak was part of a second worldwide pandemic caused by the bacterium Vibrio cholerae and lasted from 1829 to 1851. [3] The approach of the cholera epidemic was well documented at the time, but how it was spread was a mystery. In the first pandemic, the disease was first noted in India, Moscow, Russia in 1830, Finland and Poland in 1831, and Great Britain in 1831. [3] It struck first at the ports, and Sligo was the second busiest port on the west coast at the time after Limerick. Overall, the outbreak killed at least 50,000 people in Ireland. [4]
Cholera killed those infected within hours, usually less than three, and almost certainly less than twelve. Victims' skin often showed a bluish tinge, and diarrhoea led to rapid severe dehydration and death. [5]
The only surviving medical report is by a Dr. Irwin, then attached to the Fever Hospital The first case of Cholera Asiatica (as it was known then) was noted at Rathcarrick, three miles from the town by a Dr. Coyne on Sunday 29 July. More cases then appeared at Culleenamore, suspected to have been spread by bathers. Dr. Coyne later died of the disease himself. [6]
The Board of Health had the houses of the poor whitewashed and cleaned inside and out. Tar barrels were left burning in the streets in an effort to fumigate the air. Attempts to set up extra medical facilities in the town were resisted by the townspeople, as nobody wanted the infected to be anywhere near them. People armed with clubs and sticks resisted doctors and hospitals being among them. In many cases, doctors themselves were blamed for the outbreak. [6]
The outbreak began in Sligo town on 11 August 1832, with the first official figures for Sligo town being released by Dublin Castle on 18 August. These recorded 63 new cases, 22 deaths and no recoveries. From then until the end of the month the death toll averaged fifty a day. The Fever Hospital was used for the sick, but most of the orderlies fled through fear of the plague or the mob. Mr. Fausset, the Provost of the town, described the grounds of the Fever Hospital covered in corpses and no-one to bury them. He said he felt as if the "end of the world had come". [6]
Carpenters were unable to keep up with the demand for coffins and so mass graves were dug instead. and local legend suggests that people were buried alive, so great was the haste to dispose of the corpses. [6]
An unofficial quarantine cordon was set up around the town through which no one was allowed to pass, but they were driven back to the town. [7]
Efforts to understand the source of the infection included the flying of kites to see if it had an atmospheric origin. Wells were tested. [8]
At the height of the outbreak the population was reported by the Evening Post to have dropped from 15,000 to 2,000, most having fled to the countryside. [8]
The official number of cases was recorded as 1,230, with 643 deaths, although the real toll is suspected to have been considerably higher as many did not report being ill and there was a widespread reluctance to go to a hospital. It was thought that the actual death toll was more than 1,500 people. [9] The population of the town dropped from 15,000 to 12,000. [8]
Charlotte Blake Thornley, the mother of Bram Stoker was a witness to the cholera outbreak as the family were living on Old Market Street in the town at the time. They survived by fleeing to Ballyshannon having to break the cordon to do so. She wrote a vivid account of the beginning and aftermath of the outbreak.
But gradually the terror grew on us as time by time we heard of it nearer and nearer. It was in France, it was in Germany, it was in England, and (with wild affright) we began to hear a whisper pass "it was in Ireland". Then mens’ senses began failing them for fear, and deeds were done (in selfish dread) enough to call down Gods direct vengeance on us. One i vividly remember, a poor traveller was taken ill on the roadside, some miles from the town, and how did those Samaratines tend him? They dug a pit and with long poles pushed him living into it and covered him up alive. But God’s hand is not to be thus stayed and severely like Sodom did our city pay for such crimes.
— Charlotte Blake Thornley (Stoker)
It is believed that her descriptions of the events at the time were influential on themes and atmosphere of her son's most famous book, Dracula. [10]
Cholera is an infection of the small intestine by some strains of the bacterium Vibrio cholerae. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea lasting a few days. Vomiting and muscle cramps may also occur. Diarrhea can be so severe that it leads within hours to severe dehydration and electrolyte imbalance. This may result in sunken eyes, cold skin, decreased skin elasticity, and wrinkling of the hands and feet. Dehydration can cause the skin to turn bluish. Symptoms start two hours to five days after exposure.
A quarantine is a restriction on the movement of people, animals, and goods which is intended to prevent the spread of disease or pests. It is often used in connection to disease and illness, preventing the movement of those who may have been exposed to a communicable disease, yet do not have a confirmed medical diagnosis. It is distinct from medical isolation, in which those confirmed to be infected with a communicable disease are isolated from the healthy population.
A cordon sanitaire is the restriction of movement of people into or out of a defined geographic area, such as a community, region, or country. The term originally denoted a barrier used to stop the spread of infectious diseases. The term is also often used metaphorically, in English, to refer to attempts to prevent the spread of an ideology deemed unwanted or dangerous, such as the containment policy adopted by George F. Kennan against the Soviet Union.
Cholera riots are civil disturbances associated with an outbreak or epidemic of cholera.
The first cholera pandemic (1817–1824), also known as the first Asiatic cholera pandemic or Asiatic cholera, began near the city of Calcutta and spread throughout South Asia and Southeast Asia to the Middle East, Eastern Africa and the Mediterranean coast. While cholera had spread across India many times previously, this outbreak went further; it reached as far as China and the Mediterranean Sea before subsiding. Millions of people died as a result of this pandemic, including approximately 10,000 troops in British service, which attracted European attention. This was the first of several cholera pandemics to sweep through Asia and Europe during the 19th and 20th centuries. This first pandemic spread over an unprecedented range of territory, affecting almost every country in Asia.
The second cholera pandemic (1826–1837), also known as the Asiatic cholera pandemic, was a cholera pandemic that reached from India across Western Asia to Europe, Great Britain, and the Americas, as well as east to China and Japan. Cholera caused more deaths than any other epidemic disease in the 19th-century, and as such, researchers consider it a defining epidemic disease of the century. The medical community now believes cholera to be exclusively a human disease, spread through many means of travel during the time, and transmitted through warm fecal-contaminated river waters and contaminated foods. During the second pandemic, the scientific community varied in its beliefs about the causes of cholera.
The third cholera pandemic (1846–1860) was the third major outbreak of cholera originating in India in the 19th century that reached far beyond its borders, which researchers at University of California, Los Angeles (UCLA) believe may have started as early as 1837 and lasted until 1863. In the Russian Empire, more than one million people died of cholera. In 1853–1854, the epidemic in London claimed over 10,000 lives, and there were 23,000 deaths for all of Great Britain. This pandemic was considered to have the highest fatalities of the 19th-century epidemics.
The fifth cholera pandemic (1881–1896) was the fifth major international outbreak of cholera in the 19th century. The endemic origin of the pandemic, as had its predecessors, was in the Ganges Delta in West Bengal. While the Vibrio cholerae bacteria had not been able to spread to western Europe until the 19th century, faster and improved modes of modern transportation, such as steamships and railways, reduced the duration of the journey considerably and facilitated the transmission of cholera and other infectious diseases. During the fourth 1863–1875 cholera pandemic, the third International Sanitary Conference convened in 1866 in Constantinople had identified religious pilgrimages to be "the most powerful of all causes" of cholera and again Hindu and Muslim pilgrimages were an important factor in the spread of the disease.
The sixth cholera pandemic (1899–1923) was a major outbreak of cholera beginning in India, where it killed more than 800,000 people, and spreading to the Middle East, North Africa, Eastern Europe, and Russia.
The Broad Street cholera outbreak was a severe outbreak of cholera that occurred in 1854 near Broad Street in Soho, London, England, and occurred during the 1846–1860 cholera pandemic happening worldwide. This outbreak, which killed 616 people, is best known for the physician John Snow's study of its causes and his hypothesis that germ-contaminated water was the source of cholera, rather than particles in the air. This discovery came to influence public health and the construction of improved sanitation facilities beginning in the mid-19th century. Later, the term "focus of infection" started to be used to describe sites, such as the Broad Street pump, in which conditions are favourable for transmission of an infection. Snow's endeavour to find the cause of the transmission of cholera caused him to unknowingly create a double-blind experiment.
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Sir William Thornley Stoker, 1st Baronet, was an Irish medical writer, anatomist and surgeon. He served as chair of anatomy and president of the Royal College of Surgeons in Ireland, president of the Royal Academy of Medicine in Ireland, and professor of anatomy at the Royal Hibernian Academy. He was the brother of the novelist Bram Stoker.
Cefn Golau is a disused cholera cemetery situated on a narrow mountain ridge in the county borough of Blaenau Gwent, and located between Rhymney and Tredegar in south-east Wales. A suburb of Tredegar and a nearby feeder reservoir have the same name. The graves date from 1832 to 1855 with many for August and September 1849.
Seven cholera pandemics have occurred in the past 200 years, with the first pandemic originating in India in 1817. The seventh cholera pandemic is officially a current pandemic and has been ongoing since 1961, according to a World Health Organization factsheet in March 2022. Additionally, there have been many documented major local cholera outbreaks, such as a 1991–1994 outbreak in South America and, more recently, the 2016–2021 Yemen cholera outbreak.
Diseases and epidemics of the 19th century included long-standing epidemic threats such as smallpox, typhus, yellow fever, and scarlet fever. In addition, cholera emerged as an epidemic threat and spread worldwide in six pandemics in the nineteenth century.
An outbreak of cholera began in Yemen in October 2016. The outbreak peaked in 2017 with over 2,000 reported deaths in that year alone. In 2017 and 2019, war-torn Yemen accounted for 84% and 93% of all cholera cases in the world, with children constituting the majority of reported cases. As of November 2021, there have been more than 2.5 million cases reported, and more than 4,000 people have died in the Yemen cholera outbreak, which the United Nations deemed the worst humanitarian crisis in the world at that time. However, the outbreak has substantially decreased by 2021, with a successful vaccination program implemented and only 5,676 suspected cases with two deaths reported between January 1 and March 6 of 2021.
The 1813–1814 Malta plague epidemic was the last major outbreak of plague on the islands of Malta and Gozo. It occurred between March 1813 and January 1814 on Malta and between February and May 1814 on Gozo, and the epidemic was officially declared to be over in September 1814. It resulted in approximately 4500 deaths, which was about 5% of the islands' population.
The cholera epidemics in Spain were a series of morbid cholera outbreaks that occurred from the first third of the 19th century until the end of the same century in the large cities of Spain. In total, some 800,000 people died during the four pandemics that occurred in Spain during that century. However, cholera was one of several contagious diseases that struck the country. Suffice it to say that the Spanish population in 1800 was 11.5 million people and was characterized by a high birth and death rate. The successive pandemics that the country suffered caused an economic recession, as well as an opportunity for profound change in health and hygiene in Spain. It was not free of controversy, both for the use of the vaccines created by Jaime Ferrán y Clúa and for the ways of combating the disease, as well as for the policies used to deal with it. It is worth mentioning that the terror caused in the population, due to the deaths caused, was the cause of popular revolts and social instability.
Charlotte Matilda Blake Thornley Stoker (1818–1901) was an Irish writer, activist and the mother of Bram Stoker. Stoker used some of the stories she told him in his literature.