The miasma theory held that diseases like cholera and the Black Death were caused by polluted air called miasma. Miasma was thought to be a poisonous vapor or mist filled with particles from decomposed matter that caused illness and had a foul smell. John Snow supported the germ theory that cholera was caused by an unidentified germ cell transmitted through drinking water, not miasma. His theory was initially seen as peculiar but is now accepted.