In 1854, a severe cholera outbreak struck London's Soho district, near Broad Street and Golden Square, killing 616 people during the global 1846 to 1860 pandemic. The epidemic peaked intensely from August 31, with 127 deaths in the first three days alone, and over 500 by September 10 in an area where residents faced overcrowding, poor sanitation, and no proper sewer system. Symptoms appeared suddenly, including violent vomiting, diarrhea, and rapid dehydration that proved fatal within hours or d