If he were born in 1888, hypothetically speaking, then he'd be 122.
Tacking on age after that, well, I doubt a child did it.
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The same events in White chapel happened in New York city, Same concept, same style.
Possible copycat. Jack the Ripper has a huge cult following, most of whome try to solve the murders but others wish to relive it (though I hear very few act on it).
They never caught Leatherface either, but I don't think he's alive.
The way I see it is that he must of had some reason for wanting to kill a bunch of hookers.
But I also see it as it doesn't matter anymore, it happened. You can have idea after idea but with no means to actually prove it.
I do doubt it was female though, I mean how many females have doctoral experience back then who would also have surgical experience who could also be strong enough to take down women used to being on the streets and then begin to butcher them.
No, it's more likely it was a man, as the women killed were prostitutes so luring them with a job offer is the best way to get them alone.
So odds are, it would have been a man.
Also, that is to say that female serial killers are few and far in between. I'm not saying it can't happen, but I am saying to odds are against it.
Oh, and also, the killer worked hard to cover his tracks - so not to get caught. Women are less-likely to think about killing logically, they are more heat of the moment killers.
But this was planned carefully, he knew his victims, he knew how to manipulate them accordingly, he purposely took them to places where he could kill them but then they would be found in the morning.
The killings were too thought-out.
In my humble opinion, it doesn't matter, what I think would be one in a million of possibilities. I wasn't there, I don't know what happened.
The best I could gather would be to assume he had an issue with prostitutes - I don't know, maybe his mother was one, for all we know this could be the case.