Crediting his critics' concerns: remaking John Snow's map of Broad Street cholera, 1854.

نویسندگان

  • Tom Koch
  • Kenneth Denike
چکیده

Few cases in the history of epidemiology and public health are more famous than John Snow's investigation of a neighborhood cholera outbreak in the St. James, Westminster, area of London in 1854. In this study Snow is assumed to have proven that cholera was water rather than airborne through a methodology that became, and to a great extent remains, central to the science and social science of disease studies. And yet, Snow's work did not satisfy most of his contemporaries who considered his proof of a solely waterborne cholera interesting but unconvincing. Uniquely, this paper asks whether the caution of Snow's contemporaries was reasonable, and secondly, whether Snow might have been more convincing within the science of the day. The answers significantly alter our understanding of this paradigmatic case. It does so in a manner offering insights both into the origins of nineteenth century disease analysis and more generally, the relation of mapping in the investigation of an outbreak of uncertain origin. The result has general relevance-pedagogically and practically-in epidemiology, medical geography, and public health.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Commentary: Confronting unexpected results: Edmund Parkes reviews

the Parish of St. James, Westminster, during the Autumn of 1854. London: John Churchill, 1855. 17 Koch T, Denike K. Crediting his critic’s concerns: Remaking John Snow’s map of Broad Street cholera, 1854. Soc Sci Med 2009;69:1246–51. 18 York J. Mr York’s Report. Report of the Cholera Outbreak in the Parish of St. James, Westminster, during the Autumn of 1854. London: John Churchill, 1855. 19 Sn...

متن کامل

Pioneers in infection control: John Snow, Henry Whitehead, the Broad Street pump, and the beginnings of geographical epidemiology.

John Snow was one of the founders of epidemiology. Already convinced of the value of pure water, he analysed the distribution of cholera cases in the 1848 epidemic in relation to the purity of the water supply in London. His hypothesis that cholera was spread by contaminated water was tested by the 'Broad Street' epidemic of 1854. Snow quickly traced the water used in the houses affected by cho...

متن کامل

The mortality rates and the space-time patterns of John Snow’s cholera epidemic map

BACKGROUND Snow's work on the Broad Street map is widely known as a pioneering example of spatial epidemiology. It lacks, however, two significant attributes required in contemporary analyses of disease incidence: population at risk and the progression of the epidemic over time. Despite this has been repeatedly suggested in the literature, no systematic investigation of these two aspects was pr...

متن کامل

Our sense of Snow: the myth of John Snow in medical geography.

In 1854, Dr. John Snow identified the Broad Street pump as the source of an intense cholera outbreak by plotting the location of cholera deaths on a dot-map. He had the pump handle removed and the outbreak ended...or so one version of the story goes. In medical geography, the story of Snow and the Broad Street cholera outbreak is a common example of the discipline in action. While authors in ot...

متن کامل

John Snow, hero of cholera: RIP.

Snow is not the first man to be honoured for valor-ous acts he never accomplished , nor is he the first to have honest, partially successful work transformed into a miraculous success. On the 200th anniversary of Snow's death it is time to acknowledge the glorious failure to accept that Snow's cholera studies were not good enough. The problem is not Snow, but the mythology that has grown around...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Social science & medicine

دوره 69 8  شماره 

صفحات  -

تاریخ انتشار 2009