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International Journal of Epidemiology 2002;31:920-932
© International Epidemiological Association 2002

Reprints and Reflections

Commentary: Behind the Broad Street pump: aetiology, epidemiology and prevention of cholera in mid-19th century Britain

George Davey Smith

Department of Social Medicine, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, UK.

The first 150 words of the full text of this article appear below.

Introductory epidemiology text books and courses generally contain little epidemiological history, but an exception is made for the story of John Snow, the water-born transmission of cholera, and the handle of the Broad Street pump.1–5 Snow’s 1855 book, On The Mode Of Communication Of Cholera,6 is indeed a beautiful demonstration of ‘the epidemiological imagination’7 in action, and continues to provide example and inspiration to people entering the discipline. However, it appeared amidst a veritable spate of speculation, experiment, investigation and recommendations regarding cholera, and some of these less celebrated (at least now) contributions remain instructive. Therefore, in the current issue of the International Journal of Epidemiology we reprint a section of Dr John Sutherland’s report for the General Board of Health on the 1848–1849 British cholera epidemic (Figure 1Go), together with a series of commentaries.8–10 The extracts from Sutherland’s report include his investigation of the effect of water . . . [Full Text of this Article]

Epidemiology and prevention of cholera before 1848

The cause and prevention of cholera, 1848–1857

Knowledge and action

In whose interests?

Poverty and cholera

Unifactorial or multifactorial?

Individual and population health


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