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Broad Street Pump Investigation

Epidemiology

John Snow 1854 investigation of a cholera outbreak in the Soho district of London, in which he mapped cases against the location of local water pumps, traced the outbreak to a single contaminated pump on Broad Street, and had its handle removed, a case now taught as a founding moment of epidemiology as a mapped, evidence driven discipline.

Facts
Milestone Year
1854 1
Milestone DateSourced to the subject's own account
1854-09-08 2
Location
Soho, London, England 1
Classification
Type/Classification
Discovery or Breakthrough 1
FAQs

How did John Snow prove the Broad Street pump caused the 1854 cholera outbreak?

He mapped cholera deaths against pump locations, showing cases clustered around the Broad Street pump, and had its handle removed on 8 September 1854 after presenting his findings the day before.

Snow mapped the outbreak's cholera deaths against the locations of local water pumps, using what is now recognized as a Voronoi diagram to show that cases clustered around the Broad Street pump rather than any other. Over 300 people had died by 10 September 1854, including 127 people on or near Broad Street in the outbreak's first three days. Snow presented his findings to the parish's Board of Guardians on 7 September, and the pump handle was removed the following day, after which new cases fell off sharply.

Why is the Broad Street investigation considered the founding event of epidemiology?

It showed that comparing disease rates across defined groups, not theorizing about bad air, could trace a disease to its source, the method still central to epidemiology today.

It is regarded as epidemiology's founding event because it showed, before germ theory was accepted, that comparing disease rates across geographically and socially defined groups could trace a disease to its source. Beyond the pump map, Snow separately compared mortality between households served by different water companies and found a cholera death rate roughly fourteen times higher among those supplied by a sewage-polluted source, using data and comparison rather than the miasma, or bad-air, theory that dominated medical thinking at the time.
Connections

Credited To

John Snow, Figures
Source UCLA Fielding School of Public Health, John Snow Site

In Branch

Epidemiology, Branches
Source UCLA Fielding School of Public Health, John Snow Site
In the Other Atlases

Found In

Also in Geography Atlas: where this subject is found.

Sources
1. UCLA Fielding School of Public Health, John Snow Site
UCLA Fielding School of Public Health, Department of Epidemiology
  • Program classification, entity description sentence
    John Snow 1854 investigation of a cholera outbreak in the Soho district of London, in which he mapped cases against the location of local water pumps, traced the outbreak to a single contaminated pump on Broad Street, and had its handle removed, a case now taught as a founding moment of epidemiology as a mapped, evidence driven discipline.
  • In Branch: Epidemiology
  • Credited To: John Snow
View the Source
2. Wikipedia: 1854 Broad Street Cholera Outbreak
WikipediaBroad Street outbreak section, quoting John Snow's own account
Quote, Broad Street outbreak section, quoting John Snow's own account
In consequence of what I said, the handle of the pump was removed on the following day.
View the Source
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