The mortality rate for individuals is always one, but for populations it varies from time to time and place to place. London is one of those cities where the mortality rate is high, though not because it has ever been, like the Gold Coast, a city to retire to. For centuries, young people have gone to London seeking riches, celebrity and opportunity. Some, like Dick Whittington, found the streets proverbially paved with gold, but others made their way promptly to the gutter. From the gutter to the grave is but a short step, but not the last one in London during the early days of modern anatomical science, as James Bradley’s new novel illustrates.