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John Snow Pub

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Graduate Summer Session in Epidemiology

John Snow Pub

sketch of John Snow PubThe sketch to the left depicts the John Snow Pub on Broadwick Street (formerly Broad Street), London, in honor of Dr. John Snow, a pioneer English epidemiologist (1813-1858). A plaque outside the pub reads, "This red granite kerbstone marks the site of the historic Broad Street Pump associated with Dr. John Snow's discovery in 1854 that cholera is conveyed by water." Actually, the concept had first been proposed by him in 1849. Upstairs in the pub there is a picture of Snow and a description of his studies of the cholera outbreak at the Broad Street Pump. In this, he demonstrated by case-control methods that persons who drank the well water had a much higher death rate from cholera than those who did not. Furthermore, a bottle of water from the pump carried to a widow living in an area where no cholera existed infected both her and her daughter. Snow also showed in a retrospective cohort study of households receiving water from one of two competitive companies that the cholera death rate was much higher in those drinking water from a source on the Thames River polluted by sewage, 315 deaths per 10,000 houses served by the Southwark Vauxhall water company, than those drinking water derived from above this point, namely 37 deaths per 10,000 houses of the Lambeth water company. On the basis of those observations, Snow recommended specific preventative practices, such as taking the handle off the pump and introducing a purer water supply. These successful measures were carried out some 40 years before the true bacterial cause of cholera was discovered.

Snow was also a pioneer anesthesiologist. He helped introduce chloroform and ether anesthesia into Britain, wrote papers on their use, invented a mask for their administration, and delivered two of Queen Victoria's children using chloroform anesthesia. He was elected President of the Medical Society of London in 1855. At the former location of his home on Frith Street, Soho, London, the Association of Anesthetists of Great Britain and Ireland have erected a plaque which states, "Dr. John Snow, 1813-1858, Pioneer Anesthetist and Epidemiologist lived in a house at this site."

Researched and Prepared by:
Alfred S. Evans, M.D., M.P.H.
John Rodman Paul Professor of Epidemiology, Emeritus
Yale University, School of Medicine
21 August 1917 - 21 January 1996