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   Epidemiology and Prevention Research Group

 updated April 6, 2004

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Washington University School of Medicine
40 N. Kingshighway
Suite 4 
St. Louis, MO 63108
TEL: (314) 286-2252
FAX: (314) 286-2265
 
 


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Dr. John Snow

Dr. John Snow, a doctor who would win renown as both an anesthesiologist and epidemiologist, lived in London in the 1800s. He had a theory that sewage contamination of water supplies could cause human disease. An outbreak of cholera in August, 1854 in the Soho suburb gave him an opportunity to prove that theory. Snow plotted both water supplies and cases of cholera using a “spot map.” By investigating cases of cholera, including the source of their drinking water, Snow was able to find a common risk factor: water drawn from the Broad Street Pump. He wrote that there were over 500 cases within 25 feet of that pump. For Snow’s investigation, negative cases were as important as positive cases. For instance, a brewery on Broad Street unexpectedly had no cases; but the brewery turned out to have its own well. But proving his theory to himself was not enough. On 7 September 1854, Snow went to St. James’ Parish, and found someone who would allow him entry to the official parish meeting with an invitation to speak. Although it is doubtful that the officials believed Snow, they were desperate enough to try his solution, and by the next morning the handle had been removed from the pump. Cases of cholera declined rapidly after the handle was removed. This pump and handle thus symbolize the work of the Epidemiology and Prevention Research Group: 1) To thoroughly document and understand important public health problems using clear and simple methodology and subsequent communication, and 2) To think and act boldly for the public health by translating our findings into clear and simple solutions.
 


The EPRG staff presents Dr. Lee Robins, Ph.D. with a special limited edition water bottle featuring the EPRG logo.

 


 


 

 

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