On the Mode of Communication of Cholera

A scientific publication written in the mid-19th century. This work is pivotal in the field of epidemiology, as it explores the causes and transmission methods of cholera, focusing particularly on the role of contaminated water. John Snow, a prominent physician, uses empirical evidence to argue against the prevailing miasma theory of disease transmission, positing instead that cholera spreads through specific contaminated sources, particularly water supplies. At the start of the publication, Snow sets the stage by providing a history of cholera, including its emergence in India and its spread to Europe. He references various case studies and outbreak instances, emphasizing personal accounts and the significance of geography and population density on the disease's spread. Snow's methodology involves a detailed analysis of epidemic patterns and exceptions which defy the then-accepted theories of airborne transmission. His observations lead him to assert that cholera is primarily transmitted through water contaminated with the bodily fluids of infected individuals, thereby framing cholera as a communicable disease that could be managed through improved sanitation and clean water supply systems.