499Gulf of
MexicoATLANTIC
OCEANRedR.Ark
ans
as
R.MissouriR.Missispsi
piR.OhioR.L.SuperiorL.Mich
iganL.H
uro
nL.Er
ieOntarioL.New YorkCANADA MontréalCharlestonNew OrleansFort Gibson Fort Smith MemphisRoute of cholera, 1832
General trend of the
route of cholera, 1873The Routes of Cholera, 1832, 1873In 1832, cholera initially spread inland from
port cities—New York, Charleston, and New Orleans; in 1873, cholera spread down
the Ohio and Mississippi river valleys.Bro
wn
’sC
reekCumberland RiverLow-lying ground
Chief site of choleraEdgefieldNewly
built
areaArmy
barrackState
capitolPrisonPump
houseCity
HallCity
reservoirThe Cholera Epidemic in Nashville, 1873Most cholera cases in Nashville were in low-lying areas
where sewage seeped into water supplies.Question for Discussion
■At the time, many people chafed at the broad new pow-
ers and the higher taxes that city governments claimed
in order to address health problems. What arguments
can be derived both in support of those expanded pow-
ers and against them?as the city rapidly filled out a forty-block region east of city
hall and the state capitol, sewage seeped into the
Cumberland River above the pumping station. In 1873 a
cholera epidemic swept through the area. The prison was
especially hard hit. The Capitol Hill district, on high ground
to the west of Brown’s Creek, had few cholera cases. In all,
647 people from Nashville died of cholera that summer.