The story of the pump handle is familiar to any first-semester public health student: During the London cholera epidemic of 1854, John Snow examined maps of cholera cases and traced the disease to water from a local pump. At the time, the prevailing theory held that cholera spread through the air, rather than water, so Snow faced criticism from others in the science community â not to mention resistance from the water companies. He finally convinced community leaders to remove the pumpâs handle to prevent further exposure
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I like to say that a modern version of the John Snow story is the parents in Woburn contending that the water from two contaminated wells was causing their children to get leukemia. They insisted that the health and environmental agencies do their jobs, which led to the well pumps being shut off in 1979. After that, the number of cases of leukemia began to subside, and subsequent epidemiologic studies indicated that exposure to water from the contaminated wells, especially prenatal exposure, was linked to childhood leukemia risk in their town. In this analogy, the citizens played the role of John Snow, and the chemical effluents of modern industry were the equivalent of the vibrio cholerae.