*Includes pictures *Includes excerpts of contemporary accounts *Includes a bibliography for further reading Plague and pestilence have both fascinated and terrified humanity from the very beginning. Societies and individuals have struggled to make sense of them, and more importantly they've often struggled to avoid them. Before the scientific age, people had no knowledge of the microbiological agents - unseen bacteria and viruses - which afflicted them, and thus the maladies were often ascribed to wrathful supernatural forces. Even when advances in knowledge posited natural causes for epidemics and pandemics, medicine struggled to deal with them, and for hundreds of years religion continued to work hand-in-hand with medicine. Inevitably, that meant physicians tried a variety of practices to cure the sick, and many of them seem quite odd by modern standards. By the time Rome was on the rise, physicians understood that contagions arose and spread, but according to Galen, Hippocrates, and other Greco-Roman authorities, pestilence was caused by miasma, foul air produced by the decomposition of organic matter. Though modern scientists have since been able to disprove this, on the face of it there was some logic to the idea. Physicians and philosophers (they were very often the same, Galen being an example) noticed that disease arose in areas of poor sanitation, where filth and rotting matter was prevalent and not disposed of, and the basic measures to prevent disease was obvious to them. In the case of cholera, once among the most dreaded diseases, a breakthrough in Victorian England occurred in the mid-19th century during one of several epidemics to assault the island. In that instance, an unassuming physician named John Snow was able to trace the environmental component in which cholera was carried. He accomplished this in large part through a painstaking map cross-referencing location and specific cases of infection within a small area of London. Eventually, he narrowed the source down to a single manual water pump in the midst of the poverty-stricken neighborhood of Soho. An extensive early education provided by the first outbreak sent him on a contrarian's path in analyzing the dreaded disease. He was not blessed with the pedigree of an aristocratic family or the attendant gifts required for a young man of social substance to seek a high-level formal education. Nevertheless, he rose to be recognized not only as the world's leading anesthetist, but also as the practitioner who proved that the cholera outbreaks in Britain were the result of polluted water. Today, he is addressed as the "Father of Epidemiology," defined by Webster as a "medical science that deals with the incidence, distribution, and control of disease in a population." At the time, however, in the face of resistance launched by more powerful and pedigreed members of the medical profession, Snow was rewarded with criticism for not successfully revealing the entirety of the disease's inner mechanics. It was only over the course of several decades that Snow was able to persuade the medical community at large of the disease's source, and the British successfully established policies that helped prevent future outbreaks. Ironically, Snow eventually gained membership in Britain's high circle of elite medical practitioners, but it was not his work on cholera that initially propelled him to global fame. Ultimately, it was his pioneering work in the new field of anesthesiology, largely unknown to Britain, that earned the applause of contemporaries. John Snow and the Cholera Epidemic of 1854: The History of the Outbreak and Its Impact on Public Health Measures examines the deadly outbreak and Snow's groundbreaking findings. Along with pictures depicting important people, places, and events, you will learn about the cholera outbreak like never before.

*Includes pictures *Includes excerpts of contemporary accounts *Includes a bibliography for further reading Plague and pestilence have both fascinated and terrified humanity from the very beginning. Societies and individuals have struggled to make sense of them, and more importantly they've often struggled to avoid them. Before the scientific age, people had no knowledge of the microbiological agents - unseen bacteria and viruses - which afflicted them, and thus the maladies were often ascribed to wrathful supernatural forces. Even when advances in knowledge posited natural causes for epidemics and pandemics, medicine struggled to deal with them, and for hundreds of years religion continued to work hand-in-hand with medicine. Inevitably, that meant physicians tried a variety of practices to cure the sick, and many of them seem quite odd by modern standards. By the time Rome was on the rise, physicians understood that contagions arose and spread, but according to Galen, Hippocrates, and other Greco-Roman authorities, pestilence was caused by miasma, foul air produced by the decomposition of organic matter. Though modern scientists have since been able to disprove this, on the face of it there was some logic to the idea. Physicians and philosophers (they were very often the same, Galen being an example) noticed that disease arose in areas of poor sanitation, where filth and rotting matter was prevalent and not disposed of, and the basic measures to prevent disease was obvious to them. In the case of cholera, once among the most dreaded diseases, a breakthrough in Victorian England occurred in the mid-19th century during one of several epidemics to assault the island. In that instance, an unassuming physician named John Snow was able to trace the environmental component in which cholera was carried. He accomplished this in large part through a painstaking map cross-referencing location and specific cases of infection within a small area of London. Eventually, he narrowed the source down to a single manual water pump in the midst of the poverty-stricken neighborhood of Soho. An extensive early education provided by the first outbreak sent him on a contrarian's path in analyzing the dreaded disease. He was not blessed with the pedigree of an aristocratic family or the attendant gifts required for a young man of social substance to seek a high-level formal education. Nevertheless, he rose to be recognized not only as the world's leading anesthetist, but also as the practitioner who proved that the cholera outbreaks in Britain were the result of polluted water. Today, he is addressed as the "Father of Epidemiology," defined by Webster as a "medical science that deals with the incidence, distribution, and control of disease in a population." At the time, however, in the face of resistance launched by more powerful and pedigreed members of the medical profession, Snow was rewarded with criticism for not successfully revealing the entirety of the disease's inner mechanics. It was only over the course of several decades that Snow was able to persuade the medical community at large of the disease's source, and the British successfully established policies that helped prevent future outbreaks. Ironically, Snow eventually gained membership in Britain's high circle of elite medical practitioners, but it was not his work on cholera that initially propelled him to global fame. Ultimately, it was his pioneering work in the new field of anesthesiology, largely unknown to Britain, that earned the applause of contemporaries. John Snow and the Cholera Epidemic of 1854: The History of the Outbreak and Its Impact on Public Health Measures examines the deadly outbreak and Snow's groundbreaking findings. Along with pictures depicting important people, places, and events, you will learn about the cholera outbreak like never before.

"It is the summer of 1854. Cholera has seized London with unprecedented intensity. A metropolis of more than 2 million people, London is just emerging as one of the first modern cities in the world. But lacking the infrastructure necessary to support its dense population - garbage removal, clean water, sewers - the city has become the perfect breeding ground for a terrifying disease that no one knows how to cure." "As their neighbors begin dying, two men are spurred to action: the Reverend Henry Whitehead, whose faith in a benevolent God is shaken by the seemingly random nature of the victims, and Dr. John Snow, whose ideas about contagion have been dismissed by the scientific community, but who is convinced that he knows how the disease is being transmitted. The Ghost Map chronicles the outbreak's spread and the desperate efforts to put an end to the epidemic - and solve the most pressing medical riddle of the age."--BOOK JACKET.

The product of six years of collaborative research, this fine biography offers new interpretations of a pioneering figure in anesthesiology, epidemiology, medical cartography, and public health. It modifies the conventional rags to riches portrait of John Snow by synthesizing fresh information about his early life from archival research and recent studies. It explores the intellectual roots of his commitments to vegetarianism, temperance, and pure drinking water, first developed when he was a medical apprentice and assistant in the north of England. The authors argue that all of Snow's later contributions are traceable to the medical paradigm he imbibed as a medical student in London and put into practice early in his career as a clinician: that medicine as a science required the incorporation of recent developments in its collateral sciences--chiefly anatomy, chemistry, and physiology--in order to understand the causes of disease. Snow's theoretical breakthroughs in anesthesia were extensions of his experimental research in respiratory physiology and the properties of inhaled gases. Shortly thereafter, his understanding of gas laws led him to reject miasmatic explanations for the spread of cholera, and to develop an alternative theory in consonance with what was then known about chemistry and the physiology of digestion. Using all of Snow's writings, the authors follow him when working in his home laboratory, visiting patients throughout London, attending medical society meetings, and conducting studies during the cholera epidemics of 1849 and 1854. The result is a book that demythologizes some overly heroic views of Snow by providing a fairer measure of his actual contributions. It will have an impact not only on the understanding of the man but also on the history of epidemiology and medical science.

Case Studies in Public Health contains selected case studies of some of the most important and influential moments in medicine and epidemiology. The cases chosen for this collection represent a wide array of public health issues that go into the makeup of what can be termed the New Public Health (NPH), which includes traditional public health, such as sanitation, hygiene and infectious disease control, but widens its perspective to include the organization, financing and quality of health care services in a much broader sense. Each case study is presented in a systematic fashion to facilitate learning, with the case, background, current relevance, economic issues, ethical issues, conclusions, recommendation and references discussed for each case. The book is a valuable resource for advanced students and researchers with specialized knowledge who need further information on the general background and history of public health and important scientific discoveries within the field. It is an ideal resource for students in public health, epidemiology, medicine, anthropology, and sociology, and for those interested in how to apply lessons from the past to present and future research. Explores the history of public health through important scientific events and flashpoints Presents case studies in a clear, direct style that is easy to follow Uses a systematic approach to help learn lessons from the past and apply them to the present

In 1831, an unknown, horrifying and deadly disease from Asia swept across Continental Europe, killing millions in its path and throwing the medical profession into confusion. Cholera is a killer with little respect for class or wealth. When it arrived in Britain, its repercussions rocked Victorian England - from the filthy lanes of the Sunderland quayside and the squalid streets of Soho, to the great centres of power: the Privy Council, Whitehall and the Royal Medical Colleges. One man - alone and unrecognized - uncovered the truth behind the pandemic and laid the foundations for the modern scientific investigation of today's fatal plagues. John Snow was a reclusive doctor, without money or social position, who had the genius to look beyond the conventional wisdom of his day and work out that cholera was spread through drinking water. The book draws extensively on nineteenth-century medical, political and personal records in order to describe what is both an important breakthrough for medical science and also a dramatic story with a cast of colourful characters, from the heroic to the frighteningly incompetent. The book is also full of fascinating diversions into aspects of medical and social history, from Snow's tending of Queen Victoria in childbirth, to the Dutch microbiologist Leeuwenhoek's breeding of lice in his socks, and from Dickensian children's farms to riotous nineteenth-century anaesthesia parties.