John Snow and the 1854 Broad Street cholera outbreak

Harvard Online
19 Apr 201708:02

Summary

TLDRIn 1854, London's Soho district was ravaged by a cholera outbreak, claiming over 600 lives. Physician John Snow's meticulous investigation linked the disease to the contaminated Broad Street Pump, debunking the prevailing miasma theory. His collaborative efforts with local figures like Henry Whitehead gathered critical data, revealing exceptions like brewery workers and a workhouse with its own well, which contradicted the theory and pointed to water as the disease vector. Snow's findings, though initially met with skepticism, laid the groundwork for modern epidemiology.

Takeaways

  • 🏥 In 1854, a cholera outbreak in London led to over 600 deaths within weeks.
  • 👨‍⚕️ Physician John Snow is credited with discovering that cholera is waterborne and played a key role in ending the epidemic.
  • 🚰 The Broad Street Pump was identified by Snow as the source of the contaminated water that spread cholera.
  • 🏘️ The Soho neighborhood in London was densely populated with poor living conditions, including cesspools and lack of proper sanitation.
  • 🌡️ The hot and sweaty summer of 1854 contributed to the rapid spread of cholera.
  • 🌿 The prevailing theory at the time was that diseases like cholera were caused by 'miasma' or bad air, not water.
  • 🔍 Snow conducted a detailed investigation, interviewing residents and mapping the outbreak to trace the source of the disease.
  • 🍺 An exception to the outbreak was the brewery workers who drank mostly beer, avoiding the contaminated water.
  • 🏠 The workhouse residents survived due to their own well with clean drinking water.
  • 🏡 Snow also found cases where individuals outside the immediate area contracted cholera after consuming water from the Broad Street Pump.
  • 📊 Snow's work involved creating a map and collecting demographic data with the help of local residents like Henry Whitehead, which was crucial for his findings.

Q & A

  • What was the year when cholera struck London, causing a significant number of deaths?

    -Cholera struck the city of London in the year 1854.

  • Who is credited with discovering that cholera is a waterborne disease and his role in ending the 1854 epidemic?

    -Physician John Snow is credited with discovering that cholera is a waterborne disease and with ending the 1854 epidemic by removing the handle from the contaminated Broad Street Pump.

  • What was the significance of the Broad Street Pump in the 1854 cholera outbreak?

    -The Broad Street Pump was significant because it was the source of contaminated water that led to the cholera outbreak. Most of the people who fell ill had drunk water from this pump.

  • What was the prevailing theory about the cause of cholera before John Snow's investigation?

    -Before John Snow's investigation, people believed that cholera was caused by a poisonous air, known as miasma, which was thought to be related to the horrible smell from human and animal waste.

  • How did the living conditions in Soho during the 1854 cholera outbreak contribute to the spread of the disease?

    -The living conditions in Soho were crowded, with many people living in tenements and cesspools in front courtyards. The streets were not clean, and waste was often thrown out of windows, contributing to the unsanitary conditions that facilitated the spread of cholera.

  • What was the role of the baby at number 40 Broad Street in the cholera outbreak?

    -The baby at number 40 Broad Street, baby Lewis, came down with cholera, which led to the realization that there was an outbreak of the disease. The waste from baby Lewis and other people who became ill mixed with the water supply, contaminating it with cholera bacteria.

  • What method did John Snow use to gather evidence that the Broad Street Pump was the source of the cholera outbreak?

    -John Snow used a combination of canvassing the neighborhood, collecting demographic and sociological information, and creating a map to show the correlation between the location of the Broad Street Pump and the residences of those who died from cholera.

  • What were the exceptions that John Snow found in his investigation that supported his theory about the waterborne nature of cholera?

    -John Snow found exceptions in the form of brewery workers who drank mostly beer and thus had a clean supply, and a workhouse with its own well of clean drinking water, where people did not fall ill despite being in close proximity to the outbreak.

  • How did John Snow's findings impact the local community's understanding of cholera?

    -It took many years for the locals to believe John Snow's story about cholera being waterborne. His findings were significant, but the community's acceptance of this new theory was slow.

  • Who assisted John Snow in collecting data during his investigation of the cholera outbreak?

    -John Snow worked with local individuals such as a curate named Henry Whitehead, who knew many people in the community, to collect the necessary information about the residents, their water sources, and other details about their personal lives.

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相关标签
Cholera OutbreakJohn SnowWaterborne DiseaseBroad Street PumpMedical HistoryEpidemiologyVictorian LondonPublic HealthMiasma TheoryHistorical Discovery
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