I picked this up when we went to hear Steven Johnson talk about his newest book, but the bookstore had a number of his previous books on display and we looked at these as we waited for his presentation to begin. This one caught my eye because it is about London and because it was the story of an historic use of scientific analysis to study a problem, identify the cause of the problem, and then identify a solution. Having worked in a number of my professional positions as an analyst, this was very appealing.
Steven Johnson is herein presenting the story of a relatively shortlived and relatively minor (to those not caught up in it) outbreak of cholera in London in the summer of 1854. In the process, he also introduces two individuals who contribute to the solving of the mystery of what causes cholera as a result of their efforts studying this particular outbreak in individual efforts that would eventually converge and even overlap. In the process, Steven Johnson unveils a great deal about London in the era of Charles Dickens and the heyday of Queen Victoria. John Snow was already a ground-breaking contributor to the advancement of medicine by reason of his work as an anesthesiologist. His mastery of the use of ether and chloroform was so widely recognized that he was called in to perform this role for the Queen herself on the occasion of the birth of her eighth child in 1853. He remained interested, however, in the wider range of progress in medicine and particularly its unanswered questions.
The recurrent outbreaks of cholera in London and other metropolitan centers of England and Europe had interested Snow for some years before the subject outbreak in London. Steven Johnson's presentation of Snow's investigation of this latest outbreak is a fascinating study of modern research methodology applied to a real world problem. Snow gathers his data, analyzes it in various ways, including by graphically tracing the outbreak on a street map of London, seeking to identify the geographic origins and thus come closer to identifying the starting point of the epidemic. The result is a revelatory breakthrough though one not universally recognized and acclaimed for some years to come..
Ultimately, John Snow's efforts win the support and even partnership of the curate for the area of the cholera outbreak, Henry Whitehead, although he is at first skeptical of Snow's claims. This puts him in company at first with the medical, political, and government establishment who generally agree that cholera is spread through the atmosphere by means of miasma or bad air often accompanied by foul odors. Ultimately, Whitehead's own researchs, reflecting the personal observations made during his many hours touring the area of the outbreak which constitutes a part of his parish leads him to support John Snow's contention that cholera is actually carried and spread by water - especially fouled drinking water. To modern readers this will come as no suprise and the real interest in the tale is the telling of how they came to this conclusion and then how they ulitimately convinced others that John Snow was correct.
Steven Johnson's writing style is pleasant and easy to read. His pacing in the telling of the story is appropriately also relaxed, never hurrying the reader on or leaving the story to drag along. He presents an interesting story in an interesting and readable fashion - it is hard to praise an author more than to say that and I highly recommend this book as a result. And if you happened to actually be interested in the subject matter as well, as was I, than you will doubtlessly be doubly awarded in the reading of it.
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