
During Queen Victoria's reign, cholera outbreaks were common in London, killing almost 40,000 people in the city during the first 30 years of her rule. In 1854, the Queen's diary mentions the Broad Street cholera outbreak, which claimed over 600 lives. It also mentions her meeting with Florence Nightingale, who was then a supervisor in a Middlesex nursing home treating many cholera patients. While the TV series Victoria depicts the Queen visiting a hospital to see the cholera outbreak firsthand and meeting Nightingale there, in reality, the two women met after Nightingale returned from the Crimean War.
| Characteristics | Values |
|---|---|
| Date of cholera outbreak | 1854 |
| Location of the outbreak | Soho, London |
| Number of lives claimed | Over 600 |
| Part of | A global cholera pandemic between 1832 and 1860 |
| Queen Victoria's involvement | Met with Florence Nightingale, who was a nurse at a Middlesex nursing home with many cholera patients |
| Florence Nightingale's role | Did not care for cholera patients in Soho during the outbreak, but treated soldiers during the Crimean War |
| Dr. John Snow's role | Identified a water pump on Broad Street as the source of the outbreak |
| Cause of the outbreak | Contaminated drinking water |
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What You'll Learn

Queen Victoria and Florence Nightingale met during a cholera outbreak
Queen Victoria's birthday in 2022 coincided with the 170th anniversary of the cholera pandemic that ravaged London in the mid-1800s. The Queen's diary, dated 1854, mentions the Broad Street cholera outbreak in London, which claimed over 600 lives in a matter of days. The outbreak was part of a global cholera pandemic between 1832 and 1860, which ravaged London for the third time, taking over 14,000 lives.
During this time, Queen Victoria also mentions meeting Florence Nightingale, who was a supervisor in a Middlesex nursing home with many cholera patients. In reality, the two women did not meet until after Nightingale's service in the Crimean War. In November 1854, Nightingale arrived with several dozen nurses at the British Army's Barracks Hospital in Scutari, Turkey, to care for sick and injured soldiers. She worked to improve the unsanitary conditions, which were killing men, and over time, she visited military hospitals across Europe, reducing the death rate of those injured.
Queen Victoria first heard of Florence Nightingale in 1854, writing about this "remarkable person" who would be sent with a group of nurses to Scutari and Varna to care for soldiers during the Crimean War. She later received "touching accounts" from Nightingale, expressing her admiration for her achievements. When Nightingale returned, Queen Victoria invited her to Balmoral Castle in Scotland. In her journal, Victoria wrote: "At 3 we received Miss Nightingale, the celebrated Florence Nightingale whom Sir J."
The TV series 'Victoria' depicts the two women meeting during a cholera outbreak in London. In one episode, Victoria visits a women's and children's hospital to witness the sickness firsthand and meets Nightingale there. However, in reality, their introduction did not occur during a cholera outbreak. The writers of the show took creative liberties with the timeline to suit the story.
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Nightingale was a nurse during the cholera outbreak
Florence Nightingale was a nurse during the cholera outbreak. She rose to fame during the Crimean War, serving as a manager and trainer of nurses, where she organised care for wounded soldiers in Constantinople (now Istanbul). She significantly improved hygiene and living standards, reducing death rates.
Nightingale was an English social reformer, statistician, and the founder of modern nursing. She defied the expectations of women in her time and pursued a career in nursing, travelling to Germany to study. She believed that nursing was her calling, and her dedication to her work led to her rejecting marriage suitors.
During the Crimean War, Nightingale noticed that infectious diseases like cholera, typhoid, and dysentery were killing more soldiers than battle wounds. She took charge, cleaning the hospital and creating diagrams and graphs to illustrate the importance of cleanliness. Her efforts reportedly reduced the hospital's death rate from about 40% to around 2%.
After the war, Nightingale returned to England, where she continued to advocate for healthcare reform. Queen Victoria invited her to Balmoral Castle in Scotland, expressing her admiration for Nightingale's achievements. Victoria wrote of Nightingale as a “remarkable person” and sent her a brooch in honour of her service to the military.
While the TV series "Victoria" depicts Nightingale meeting Queen Victoria during a cholera outbreak in London, this did not occur. Nightingale's work during the cholera outbreak was primarily in Scutari and Varna, where she cared for soldiers during the Crimean War.
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Nightingale did not care for cholera patients in Soho
Florence Nightingale was a celebrated British nurse and social reformer who rose to fame during the Crimean War. She was born into a wealthy British family in Italy in 1820. Despite opposition from her family, she pursued a career in nursing, training in Germany. She became the manager of a hospital for women in London's Harley Street.
In 1854, the Crimean War broke out, and Nightingale was put in charge of a group of nurses who were sent to Turkey to care for wounded British troops. She realised that conditions were dire, with hospitals being overcrowded and unhygienic, and soldiers suffering from cholera, dysentery, and typhus. She and her nurses set about improving medical and sanitary arrangements, earning her the nickname "the Lady with the Lamp". Nightingale's greatest contribution came during the Crimean War, when she cared for injured soldiers and worked to improve their conditions.
In 1854, there was a major outbreak of cholera in Soho, London, which claimed over 600 lives. This outbreak was part of a global cholera pandemic between 1832 and 1860. It was the third time that cholera ravaged London, with previous outbreaks in 1832 and 1849 killing over 14,000 people. The 1854 outbreak, also known as the Broad Street cholera outbreak, was best known for physician John Snow's study of its causes. Snow identified the source of the outbreak as contaminated water from a public water pump on Broad Street, now known as Broadwick Street.
While Florence Nightingale is depicted as tending to cholera patients in Soho in the TV series "Victoria", historical records suggest otherwise. Nightingale does not seem to have been directly involved in caring for cholera patients in Soho during the 1854 outbreak. Her name is notably absent from the records of the time, and the outbreak is not mentioned in Queen Victoria's journal. However, Nightingale did gain experience treating cholera patients during the Crimean War and later in her career.
It is important to note that Nightingale's work during the cholera outbreak in Soho was not her primary focus. She is known to have briefly joined the Middlesex Hospital during the outbreak to help supervise the treatment of cholera patients. Elizabeth Gaskell, in a letter, described Nightingale as "receiving the poor creatures (chiefly fallen women of that neighbourhood - they had it the worst)". This suggests that Nightingale's involvement was primarily focused on supervising and providing support rather than direct patient care.
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Queen Victoria met Dr John Snow during the cholera outbreak
Queen Victoria and Dr John Snow knew each other during the cholera outbreak of 1854. However, there is no record of them discussing the outbreak. Snow was an anaesthetist to the Queen and had administered chloroform to her during the births of two of her children, Prince Leopold in 1853 and Princess Beatrice in 1857.
Dr John Snow was a pioneer in medicine, anaesthesia, and epidemiology. He was a rising star in anaesthesiology and was considered the most accomplished anaesthetist in the British Isles by 1848. He was also a pioneer in the field of public health research in epidemiology.
During the 1854 cholera outbreak, Dr Snow famously traced the source of the Soho outbreak back to the public water pump on Broad Street. He had been skeptical of the prevailing wisdom that cholera spread through the air and asserted his dissent in an 1849 essay, "On the Mode of Communication of Cholera". He accurately linked the outbreak in Golden Square to the water pump on Broad Street by interviewing the residents of Broad Street and studying the cholera deaths in the area. He then took his findings to the board of governors of the local St. James Parish, and they ordered the removal of the Broad Street pump handle.
Queen Victoria's diary, dated 1854, contains a note about the Broad Street cholera outbreak in London, which claimed over 600 lives in a matter of days. She also mentions meeting Florence Nightingale, who was a supervisor in a Middlesex nursing home with many cholera casualties.
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The cholera outbreak was caused by contaminated water
Cholera is an extremely virulent disease that can kill within hours if left untreated. It has been known for many centuries, with descriptions of cholera found as early as the 5th century BCE in Sanskrit literature. The first cholera pandemic, or global epidemic, was recorded in the 19th century. Since then, six more pandemics have killed millions of people worldwide.
The current (seventh) pandemic started in South Asia in 1961 and continues to affect populations globally. The risk of death among those affected is usually less than 5% with improved treatment, but may be as high as 50% without access to treatment. The illness is rare in high-income countries and affects children most severely.
The cholera outbreak in Queen Victoria's time was part of a global cholera pandemic between 1832 and 1860. It was the third time the disease ravaged London, claiming over 14,000 lives over the years. The Broad Street cholera outbreak in 1854 claimed over 600 lives in a matter of days. At the time, the "miasma" theory was the prevailing idea about the source of the pandemic. Noxious particles in foul air were thought to be the carriers of the disease.
However, an eccentric physician, Dr. John Snow, had a different idea. With the help of Henry Whitehead, a local reverend, Dr. Snow plotted a cluster map of the ill and dying people in the Soho area of London. He identified a water pump on Broad Street as the source of the outbreak. The doctor also noted that workers at a nearby brewery did not get sick because they drank boiled water. On his insistence, the local authorities disabled the pump, but the government refused to accept Snow's theory of a waterborne illness.
It was not until eight years after his death in 1858 that the role of water in spreading cholera was accepted. German physician Robert Koch isolated Vibrio Cholerae in 1892, proving Snow's contention that it was in the water. Koch determined that cholera was not contagious from person to person but spread through unsanitary water or food. Today, scientists consider Snow to be the pioneer of public health research in the field of epidemiology.
The cholera outbreak in London during Queen Victoria's time was likely caused by contaminated water, as identified by Dr. John Snow's pioneering work in epidemiology. The disease ravaged the streets of Soho, and Queen Victoria herself wrote of the outbreak in her journal, expressing her powerlessness to help. While the exact details of Queen Victoria and Florence Nightingale's meeting during the cholera outbreak are unclear, it is known that Nightingale was a social reformer, statistician, and founder of modern nursing who rose to fame during the Crimean War and became a national heroine in Victorian England.
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Frequently asked questions
Yes, in episode 4 of season 3 of the TV show 'Victoria', Victoria and Lord Palmerston sneak out of the palace to visit cholera victims in a nearby hospital.
No, in reality, the two women didn't meet until after Nightingale's service in the Crimean War. In the show, Victoria visits a women's and children's hospital to see the sickness firsthand, and it is there that she meets Nightingale. However, in reality, Nightingale did not seem to have been involved in caring for cholera sufferers in Soho during the outbreak.
The show depicts the Soho cholera outbreak of 1854, during which Dr. John Snow discovered that the illness was spread by contaminated water.
Yes, Queen Victoria and Florence Nightingale did meet in real life. The Queen first heard of Nightingale in 1854 and wrote about this "remarkable person". The two women met after Nightingale returned from the Crimean War.











































