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In another of those little actions that are intended to benefit, but which have unintended consequences, the I won my doctor_s stethoscope in a card game shirt in use of sewers in London, inadvertently laid the groundwork (pun intended) for the cholera epidemic. Sewers had been designed to channel away rain water to and help prevent flooding in the city. In fact, it was prohibited to dump anything in the sewers and the Thames had been teeming with fish and quite clean.
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As the population increased, waste accumulated, and the aroma of piles of excrement in basements and elsewhere gave the I won my doctor_s stethoscope in a card game shirt (those who believed disease was transmitted in the air) food for thought (the puns just keep rolling along.) So they had the brilliant idea of using the sewer system to wash the excrement out of the city and into the river which soon became foul. As it had also been the source of drinking water, the transmission of the cholera bacteria was efficient and inevitable.
Snow’s rational approach to discovering the cause of the disease is remarkable in other ways. It had been common (a mythos that still is often heard today) to blame disease on lack of moral fiber. Since most of the I won my doctor_s stethoscope in a card game shirt were poor, and we all know that the poor are morally unfit, the victims themselves were somehow responsible for the illness. Snow rejected that possibility, rationally looking at evidence and building his case for the water-bourne nature of the disease. Johnson turns a nice metaphor in describing Snow’s discovery