How Did John Snow End the Cholera Epidemic in 1854 London?

By Anna Duncan

In the mid-19th century, London was plagued by a deadly cholera epidemic that claimed thousands of lives. At the time, the prevailing theory was that cholera was spread through “miasma,” or bad air. However, one man – John Snow – had a different idea.

The Cholera Epidemic
The cholera epidemic began in August 1854 and quickly spread throughout Soho, a densely populated neighborhood in London. The disease caused severe diarrhea and vomiting, leading to dehydration and often death within a matter of hours.

The Miasma Theory
At the time, most people believed that cholera was caused by miasma – bad air emanating from decomposing matter. This theory was based on the work of Italian physician Girolamo Fracastoro in the 16th century.

John Snow’s Theory

John Snow, a physician who had studied cholera outbreaks in other parts of the world, had a different theory. He believed that cholera was transmitted through contaminated water.

The Broad Street Pump
Snow set out to prove his theory by mapping the location of cholera victims in Soho. He noticed that many of them lived near the Broad Street pump – a public water pump that supplied drinking water to the neighborhood.

Removing the Handle

Snow suspected that the pump was contaminated with cholera and convinced local officials to remove its handle, effectively shutting off its water supply. The number of new cases immediately began to decline.

  • Further Evidence

To further support his theory, Snow interviewed residents who had not contracted cholera despite living in close proximity to those who had. He discovered that many of them got their drinking water from other sources such as wells or delivered water rather than from the Broad Street pump.

The Impact of John Snow’s Work

Snow’s work in ending the Soho cholera epidemic was groundbreaking and laid the foundation for modern epidemiology. His research helped to establish the germ theory of disease and paved the way for future public health interventions.

Conclusion
In conclusion, John Snow’s theory that cholera was spread through contaminated water, rather than miasma, was a breakthrough in understanding the disease. His work in mapping the outbreak and convincing officials to remove the pump handle led to a dramatic decrease in new cases and helped to establish new approaches to public health.