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From 1817 cholera was spreading from India across Asia towards Europe. People in Britain felt safe until it reached Russia in 1831 and then more worryingly, the port of Hamburg in Germany by the beginning of October 1831. From there it was just a short crossing aboard one of the many trading ships to reach Britain. The government was correct in feeling very scared. It set up a Central Board of Health, which made suggestions about ways to stop the spread of cholera. The Local Boards of Health, created in the main cities and towns of Britain, were then to carry out these suggestions. All of which was to no effect when cholera took its first victim in Sunderland on 23 October 1831.

Cholera had arrived.