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时间:2019-07-30
《【素材】Unit 1 文档1854 Broad Street cholera outbreak(人教)》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、1854BroadStreetcholeraoutbreakBroadwickStreetshowingtheJohnSnowmemorialandpubThe1854BroadStreetcholeraoutbreakwasasevereoutbreakofcholerathatoccurrednearBroadStreet(nowrenamedBroadwickStreet)inSohodistrictofLondon,Englandin1854.ThisoutbreakisbestknownforJohnSnow'sdisc
2、overythatcholeraisspreadbycontaminatedwater.BackgroundInthemid-19thcentury,theSohodistrictofLondonhadaseriousproblemwithfilthduetothelargeinfluxofpeopleandalackofpropersanitaryservices.Manycellars(basements)hadcesspoolsofnightsoilunderneaththeirfloorboards.Sincetheces
3、spoolswereoverrunning,theLondongovernmentdecidedtodumpthewasteintotheRiverThames.Thiscausedmassivewatercontaminationandledtothecholeraoutbreak.OutbreakOn31August1854,afterseveralotheroutbreakshadalreadyoccurredelsewhereinthecity,amajoroutbreakofcholerastruckSoho.DrSno
4、wlatercalledit"themostterribleoutbreakofcholerawhicheveroccurredinthekingdom."Overthenextthreedays127peopleonornearBroadStreetdied.Inthenextweek,threequartersoftheresidentshadfledthearea.By10September,500peoplehaddiedandthemortalityratewas12.8percentinsomepartsoftheci
5、ty.Bytheendoftheoutbreak616peopledied.JohnSnowInvestigationOriginalmapbyDr.JohnSnowshowingtheclustersofcholeracasesintheLondonepidemicof1854Snowwasaskepticofthethen-dominantmiasmatheorythatstatedthatdiseasessuchascholeraortheBlackDeathwerecausedbypollutionoranoxiousfo
6、rmof"badair".Thegermtheorywasnotwidelyacceptedbythistime,soSnowwasunawareofthemechanismbywhichthediseasewastransmitted,butevidenceledhimtobelievethatitwasnotduetobreathingfoulair.HefirstpublicizedhistheoryinanessayOntheModeofCommunicationofCholerain1849.In1855aseconde
7、ditionwaspublished,withamuchmoreelaborateinvestigationoftheeffectofthewater-supplyintheSoho,Londonepidemicof1854.Bytalkingtolocalresidents(withthehelpofReverendHenryWhitehead),heidentifiedthesourceoftheoutbreakasthepublicwaterpumponBroadStreet(nowBroadwickStreet).[1]A
8、lthoughSnow'schemicalandmicroscopeexaminationofasampleoftheBroadStreetpumpwaterwasnotabletoconclusivelyproveitsdanger,hisstu
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