Cholera in the UK and Bristol
Cholera in the UK and Bristol

History, Current Status, and the Role of Rat Control in Disease Prevention
Cholera, a waterborne bacterial infection caused by Vibrio cholerae, has left a significant mark on the United Kingdom’s public health history, particularly during the 19th century. While it no longer poses a significant threat in the UK due to modern sanitation, its historical impact, especially in cities like Bristol, underscores the importance of maintaining robust public health measures.
This article explores cholera’s history in the UK and Bristol, its current status, and how rat control services, such as those provided by Pale Horse Pest Control in Bristol, contribute to reducing disease transmission risks.
It also offers five practical steps to minimise rodent-borne infections and guidance on seeking help for suspected infections, drawing on scientific sources and Health and Safety Executive (HSE) insights.
History of Cholera in the UK and Bristol
Cholera first struck the UK in 1831 during the second global pandemic, originating in India’s Ganges delta and spreading through trade routes to Europe. Known as “Asiatic cholera” to distinguish it from other gastrointestinal illnesses, it caused widespread fear due to its rapid onset and high mortality.
Major outbreaks occurred in 1831-1832, 1848-1849, 1853-1854, and 1866, with urban areas suffering the most due to poor sanitation and contaminated water supplies. In 1854 alone, 23,000 people died in the UK, highlighting the disease’s devastating impact.
In Bristol, cholera outbreaks were particularly severe. During the 1848-1849 epidemic, the city experienced relatively high mortality compared to other towns of similar size, as noted in historical analyses (PMC). This was largely due to Bristol’s inadequate water supply, described as the most deficient among English towns of comparable size in the 1844 Health of Towns report.
Contaminated water sources, often polluted by sewage, facilitated the spread of Vibrio cholerae, leading to significant loss of life. The work of public health pioneers like John Snow, who in 1854 traced a London outbreak to a contaminated water pump, spurred reforms that improved water and sanitation systems across the UK, including Bristol. By the late 19th century, these advancements, coupled with the Public Health Acts of 1848 and 1875, significantly reduced cholera’s prevalence (National Archives).
Current Status of Cholera in the UK
Today, cholera is extremely rare in the UK, including Bristol, due to robust water treatment and sanitation systems. The UK Health Security Agency (UKHSA) reports that cholera does not occur naturally in the UK, with cases primarily linked to travellers returning from endemic regions such as parts of Africa, Asia, and the Americas (GOV.UK).
In 2023, only 12 confirmed cases were reported across the EU/EEA, all associated with travel to cholera-affected areas (ECDC). The risk for UK residents is minimal, but travellers to high-risk areas are advised to practice good hygiene, avoid untreated water and undercooked food, and consider vaccination if visiting remote regions without medical access (NHS).
Aspect - Details - Current Prevalence
Rare, primarily travel-related cases
Risk Groups
Travellers to endemic areas, emergency workers
Prevention
Hygiene, safe water, and vaccination for high-risk travel
Health and Safety Executive (HSE) Guidance
The Health and Safety Executive (HSE), Britain’s national regulator for workplace health and safety, focuses on preventing work-related death, injury, and illness. While cholera is not typically an occupational disease in the UK due to its rarity, the HSE’s guidance on water-related hazards and biological agents is relevant.
Under the Control of Substances Hazardous to Health (COSHH) regulations, employers in high-risk sectors like waste management or water treatment must assess risks from biological agents, including waterborne pathogens.
The HSE emphasises maintaining hygiene standards, using protective equipment, and controlling environmental hazards like rodents, which can indirectly contribute to water contamination (HSE).
For cholera specifically, the UKHSA provides detailed public health guidance, recommending that workers in high-risk environments ensure clean water sources and practice rigorous hygiene.
Role of Rat Control in Disease Prevention
Although cholera is primarily waterborne, not directly rodent-borne, rats can contribute to environmental contamination by spreading pathogens through their faeces, potentially affecting water sources.
Rats are known carriers of diseases like leptospirosis, salmonellosis, and hantavirus, which can be transmitted via contact with their urine, faeces, or bites. By maintaining sanitation and controlling rat populations, the risk of such contamination is reduced, indirectly supporting efforts to prevent waterborne diseases like cholera.
Pale Horse Pest Control, a British Pest Control Association (BPCA)-accredited service in Bristol, plays a vital role in this effort. With nearly 20 years of experience, their team uses humane and effective methods to manage rat infestations.
They focus on identifying and sealing entry points, avoiding traditional baiting methods that can lead to recurring issues. Their services include comprehensive inspections and tailored pest management plans for homes and businesses, ensuring long-term prevention.
By reducing rat populations, Pale Horse Pest Control helps maintain sanitary conditions, minimising the risk of disease transmission. Contact them at Pale Horse Pest Control or call 0117 369 9909 for professional assistance.
Five Practical Steps to Reduce Rodent-Borne Infections
To minimise the risk of rodent-borne infections, individuals can adopt the following measures:
Maintain Cleanliness
Regularly clean food preparation areas and remove food debris to deter rats.
Secure Food Storage
Store food in rodent-proof containers and ensure garbage is securely contained and disposed of regularly.
Seal Entry Points
Inspect and seal gaps or holes in homes and buildings using materials like steel wool, wire mesh, or caulk.
Reduce Clutter
Clear indoor and outdoor clutter to eliminate hiding spots for rats, keeping yards and storage areas tidy.
Engage Professional Pest Control
Use services like Pale Horse Pest Control for regular inspections and effective rat management.
These steps, supported by scientific and HSE guidance, help reduce the risk of diseases transmitted by rodents. Learn more about their Bristol Rat Control services
Seeking Help for Suspected Infections
If you suspect cholera, characterised by severe diarrhoea, vomiting, and dehydration, seek medical attention immediately. Contact your general practitioner (GP) or call NHS 111 for advice.
In cases of severe dehydration or other complications, call 999 for emergency services. Inform healthcare providers of any recent travel to cholera-endemic areas to ensure accurate diagnosis and prompt treatment with antibiotics or rehydration therapy.
For rodent-borne diseases like leptospirosis, symptoms may include fever, muscle aches, or gastrointestinal issues.
Consult a healthcare professional, providing details of possible exposure to rats or contaminated environments. Early intervention is critical for effective treatment (NHS).
Summary
Cholera’s historical impact on the UK, particularly in Bristol, highlights the importance of sanitation and public health measures. While the disease is now rare in the UK due to advanced water treatment, maintaining vigilance through practices like rat control remains crucial for overall health.
Pale Horse Pest Control in Bristol supports these efforts by effectively managing rat populations, reducing the risk of environmental contamination. By following the outlined preventive steps and seeking prompt medical help when needed, individuals can protect themselves from cholera and rodent-borne infections, ensuring a safer living environment.
Key Citations:
- Cholera as a ‘sanitary test’ of British cities, 1831–1866
- Cholera: guidance, data and analysis
- Cholera worldwide overview
- Cholera information from NHS
- Coping with Cholera - The National Archives
- Case Study: Cholera - BBC Bitesize
- Pest Control in Bristol | Pale Horse Pest Control
- Health and Safety Executive - GOV.UK

