Imagine if every time you experienced a slight upset stomach you knew that there was an entirely reasonable chance you’d be dead in forty-eight hours. Remember, too, that the diet and sanitary conditions of the day—no refrigeration; impure water supplies; excessive consumption of beer, spirits, and coffee—created a breeding ground for digestive ailments, even when they didn’t lead to cholera. Imagine living with that sword of Damocles hovering above your head—every stomach pain or watery stool a potential harbinger of imminent doom. City dwellers had lived with fear before, and London, of

