A Cholera Spread, A Water Pump, and A Map: John Snow, born 1813 March 15

John Snow pub in Soho near site of water pump and two dogs.

Snow was a British physician who is considered one of the founders of epidemiology for his work identifying the source of a cholera outbreak in 1854.

John Snow was born into a labourer’s family on 15 March 1813 in York and at 14 was apprenticed to a surgeon. In 1836, he moved to London to start his formal medical education. He became a member of the Royal College of Surgeons in 1838, graduated from the University of London in 1844 and was admitted to the Royal College of Physicians in 1850.

In August of 1849, during the second year of the epidemic, Snow felt obliged to share what he considered convincing evidence that cholera was being spread through contaminated water. At his own expense he published a pamphlet entitled On the Mode of Communication of Cholera. Thirty-nine pages in length, the essay contained both a reasoned argument and documentary evidence to support his theory. As one example he cited the case of two rows of houses in a London neighborhood that faced each other.

In one row many residents became cholera victims, while in the other row only one person was afflicted. It was discovered, Snow wrote, that “in the former bowl the slops of dirty water, poured down by the inhabitants into a channel in front of the houses, got into the well from which they obtained their water.” Snow realized that such conditions existed in many neighborhoods and that if cholera epidemics were ever going to be eliminated, wells and water pipes would have to be kept isolated from drains, cesspools, and sewers.

At the time, it was assumed that cholera was airborne. However, Snow did not accept this ‘miasma’ (bad air) theory, arguing that in fact entered the body through the mouth. He published his ideas in an essay ‘On the Mode of Communication of Cholera’ in 1849. A few years later, Snow was able to prove his theory in dramatic circumstances. In August 1854, a cholera outbreak occurred in Soho. After careful investigation, including plotting cases of cholera on a map of the area, Snow was able to identify a water pump in Broad (now Broadwick) Street as the source of the disease. He had the handle of the pump removed, and cases of cholera immediately began to diminish. However, Snow’s ‘germ’ theory of disease was not widely accepted until the 1860s.

Snow was also a pioneer in the field of anaesthetics. By testing the effects of controlled doses of ether and chloroform on animals and on humans, he made those drugs safer and more effective. In April 1853, he was responsible for giving chloroform to Queen Victoria at the birth of her son Leopold, and performed the same task in April 1857 when her daughter Beatrice was born.

Snow died of a stroke on 16 June 1858.

Any Comments?

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s