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Steven JohnsonA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
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John Snow was a doctor and an anesthesiologist in the early to mid-1800s. During his lifetime, he was known more for his breakthroughs in the field of anesthesiology than for his pioneering studies on the origins of cholera. It says much about his independence and his disregard for social prestige that he sought to prove his unpopular theories about cholera at the height of his career, therefore risking his reputation. His ambitions seem to have been entirely intellectual, rather than social. His indifference to social reputation may have had its roots in his modest background—he was the son of a laborer—as well as in his character.
Snow is a significant figure to Johnson not only because of his important findings in regard to cholera but because of his methodology. He was both wide-ranging and intensely local in his way of working, drawing on disciplines other than his own (such as statistics) and drawing his conclusions from careful empirical observation. This made him a rarity at a time when many other intellectuals tailored their research to fit their theories, and Johnson suggests that Snow’s methodology is still relevant to us today and may even have helped to usher in the modern age.
Henry Whitehead was Snow’s eventual collaborator in proving the waterborne theory of cholera transmission. Although evidently different from Snow—Whitehead was gregarious where Snow was introverted, and a vicar where Snow was a scientist—he had in common with Snow an intellectual open-mindedness and an indifference to received opinions. Like Snow, his way of testing his theories was empirical and local. At the same time that Snow was drawing water from the contaminated Broad Street well to analyze and establishing the drinking patterns of the citizens nearby, Whitehead was interviewing the citizens themselves.
Whitehead lived to see his and Snow’s theory become accepted, as the miasma theory of cholera transmission became more discredited. He also helped to navigate a second cholera outbreak that occurred in 1886. However, he seems to have understood his role to be secondary to Snow’s, in the discovery of the origins of cholera. He kept a portrait of his late friend in his study, as a reminder of the importance of “‘patient study of the eternal laws’” (227).
Edwin Chadwick was the President of the Board of Health shortly before the 1854 cholera epidemic. (Benjamin Hall had taken over the presidency by the time of the epidemic.) He was an influential figure in ways both good and bad, and his legacy was a mixed one. On the one hand, he was both purposeful and well-intentioned, and as the Board president he helped to usher in a new role for government as tackling urgent health issues and protecting the welfare of the poor. While his conception of government was a modern one, however, his theories around cholera transmission were backwards and misguided. Like many other scientists and government officials at that time, he believed that cholera was caused by inhaling bad smells, such as the stink that arose from sewage and the smell of bodies in pauper graves. Towards this end, he conceived of a scheme to empty the cesspools in front of London houses into the Thames river; therefore, as Johnson states, he “deliver[ed] the cholera bacteria directly to the mouths of Londoners” (120).
Chadwick is responsible for the quote “All smell is disease”(114), a quote which is also the title for Chapter 5 in this book. He is a reminder of the degree to which prejudice and popular theories can sabotage even intelligent and well-meaning people.
Joseph Bazalgette was an engineer who designed the London sewage system that still survives today and is one of the most sophisticated city sewage systems in the world. It was designed and built in response to “the Great Stink” of June 1958: the foul smell of the polluted Thames river during an unusually hot summer. Bazalgette’s new sewage system directed water away from the Thames and central London, therefore—in a sense—undoing the work of Edwin Chadwick.
Johnson compares the London sewage system to the Brooklyn Bridge and the Eiffel tower, in its intricacy and ambition: “Its grandeur lies belowground, out of sight, and so it is not invoked as regularly as other, more iconic, achievements of the age” (207). Bazalgette is important for having put into action an idea that Snow had had several years earlier: the cleaning of the Thames river. He is a reminder of the importance of collaboration and also of the slowness and gradualness with which change and improvement can take hold.
By Steven Johnson