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By William Coleman, Ph. D.

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1), then 18 years old and in his second year as apprentice to the local doctor at Newcastle-upon-Tyne, was sent to give the miners and their families any medical assistance that he could. Although Dr. Snow knew at once that the men were ill with cholera, there was little he could do for them. Cholera was familiar to the British from their visits to India, where it was common. The miners were exhibiting the same symptoms as people believed to be suffering from cholera in India. After seven more years as an apprentice to several physicians, Snow passed the medical examinations.

While there he learned that health care workers were gathering evidence to track down this cholera outbreak. They had found that stool cultures were positive for Vibrio cholera O1 in 74 percent of patients treated. That statistic included him. He was interviewed by authorities trying to locate the source of the outbreak. He was asked if he had eaten a local delicacy, kapenta—a sardine-like food staple. He had tried this delicacy on his visit, and he also indicated that he had eaten fresh, raw vegetables.

The servant was sent to the Broad Street neighborhood to draw water from the pump and had done so during the time of the cholera epidemic. The woman, in turn, drank this water. This was the connection 39 40 cholera that Snow was looking for. The mystery surrounding cholera transmission had been solved. 3). Snow talked to the owners of a brewery located in this area and found that the workers at the brewery did not drink from the Broad Street pump because the owner of the brewery supplied beer for his workers.

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Cholera by William Coleman, Ph. D.


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