Cholera is a truly horrifying disease, with severe diarrhea causing death through dehydration, while the patient remains awake and in agony. The disease is carried by fecal bacteria, so it’s virtually unknown in highly developed countries today, because of our sophisticated sewage and drinking water systems. Back in 1849, Boston had just begun to address its drinking water needs, with the Cochituate aqueduct opening the year before. We had not, however, even begun to deal with our sewage. In most of Boston, raw sewage ran in open gutters down the sides of the street. When the first major cholera epidemic hit Boston in the summer of 1849, hundreds died. There were no antibiotics or IV rehydration to treat victims with. Instead, the city government took a public health approach that was focused on sanitation first.
Continue reading Boston in the Time of Cholera (episode 161)

We’re joined this week by Yale history professor Mark Peterson to talk about his new book The City State of Boston: The Rise and Fall of an Atlantic Power, 1630-1865. In the interview, Professor Peterson will tell us why he believes that, from its settlement a century and a half before the US Constitutional government was founded until the end of the US Civil War, Boston had a political, economic, and social identity completely independent from the rest of what is now the United States. He’ll also tell us surprising stories about money in early Boston, a French-born British army officer who embodied Boston’s relationship with Acadia, and what it meant for Boston to be a slave society where the enslaved people were kept out of sight.