Untangling the Intricacies

I was impressed with the author’s description on page 96, about the contrast between the gargantuan, thriving metropolis and this microscopic virus.  Writes Johnson, “It is a great testament to the connectedness of life on earth that the fates of the largest and the tiniest life should be so closely dependent on each other.”  This puts into perspective how wild it is that something so minuscule has the ability to ravage thousands, in an advanced urban center nonetheless.  As far as civilization had reached at that point, a tiny particle not visible to the naked eye could be and was in fact responsible for so many deaths.  I thought it was interesting how Johnson frames this, mentioning the strength of our sense of smell over sight.  We often, even today, seem to rely significantly more on our vision, that we often forget how our olfactory senses are working at a much more ingrained, biological level.

As several have noted, it seems so simple to us now that the answer was right in front of their noses (although not in the way they’d expect).  However, the bacterium itself obviously could not be identified by any basic sense, but rather the combination of various research methods.  It is almost eerie in my opinion to read how Johnson dissects the every move of scientists and doctors like John Snow, how they piece together the clues and attempt to assimilate them into the conflicting dogma of the time.  In reading this I can’t help but think of how the epidemics discussed in class that are facing our society today will one day be analyzed in a similar matter.  It is easy to argue now that complex illnesses like cancer at present seem largely impossible to cure, save for certain correlations.  However, it will surely one day be a sickness of the past, examined in the history books, and talked about by future students like us, wondering how we could have missed the connections between the dots so clearly laid out in front of us.

As Johnson contends, Snow really was doing a brave, complicated task, and should be commended for the intricacy of his work.  Not only was he doing scientific research and sociological study, he was also working to change the seemingly incontestable health opinions of the time.  With this I can’t help but wonder, what’s next in modern public health to be disproven as common truth?

-Jacqui Larsen

Adaptation for survival?

While reading the next few chapters of “The Ghost Map,” my favorite section revolved around the part where Steven Johnson discussed how human tolerance to alcohol arose over time because it was safer to drink than water, as alcohol has antibacterial properties. It reminded me of a video that I watched on YouTube, in which a speaker explained to an audience why many humans have developed lactose tolerance and why many have not. This stems from the time where our ancestors changed from a hunter-gatherer culture to an agrarian culture. Since many agrarian cultures herded sheep and cows, humans were able to consume milk for a longer time and eventually their descendants became tolerant to lactose.

The “adaptation” can be reexamined though the lens of genetically modified / processed foods. Although some individuals are against the process of using pesticides and industrial farming due to the long term negative health effects, a question can be raised on whether the human body will eventually evolve to have stomach and intestines that will be able to extract the nutrients from food without any negative effects from endocrine disruptors or from intake of hormones that have been placed into meat. Tea works the same way as alcohol in terms of killing bacteria, except tea uses the boiling process as well as tannic acid during the steeping process, and is able to have the same effects as alcohol without its detrimental effects. Perhaps there could be another way that can mitigate the effects of genetically modified / processed foods in a more natural way.

 

YouTube video mentioned in post: http://www.youtube.com/watch?v=A3iIfL8q0_k

The Scientific Method Approach

I find it quite interesting that despite much opposition to Snow’s theory, he continued to pursue the truth. The motivation that he had is quite refreshing, seeing as how many scientists got caught in the sea of popular conviction.

Snow’s behavior helps me understand why, throughout all of my science classes, we repeatedly are taught the scientific method. It is not merely to show you how to experiment, rather it is more to show you to doubt everything until you have considerable proof, and even then, to doubt it. After seeing how adamant Snow was about his theory, and after seeing how hard he worked to stick to it, I believe I have a new appreciation for the scientific method.

But, even though his background proved to help him become victorious, I still wonder why people were so against it. The scientific method’s roots were definitely well-accepted in the scientific communities. Why is it that they chose to doubt everything except miasma theory. As any firm believer of the scientific method would say, why didn’t they doubt their results?

Adamance: The bane of our society!

The deadliest disease in the world, the most catastrophic warfare, the most cruel genocide, all pale in comparison to the sheer lethality and deleterious ramifications of a stubborn mind. The inability of men to be receptive of new solutions results in the exponential increase of the consequences of the existing problem. This is clearly evident in these three chapters of the book. Despite overwhelming and substantial scientific and statistical evidence that cholera is a waterborne, not airborne disease, authorities continued to merely ignore these findings by finding “loopholes.” The authority figures of the time, particularly Edwin Chadwick, were fervent supporters of the Miasmata theory. Chadwick argued that all smell was disease, as he believed the smell was directly related to “London’s rising tide of excretement.” While this might have been true, the smell produced by the excretement was not harmful. Our brains make the smell produced by excretement unpleasant so that we will not come into physical contact with the waste, which indeed contained germs and bacteria. The smell, therefore was an indicator that danger is nearby; it is by no means the danger itself. Furthermore, the idea of bad smell means disease was so engraved in the minds of the Victorian population for other reasons as well. Florence Nightingale, one of the most influential medical figures of the time, said that the “very first canon of nursing…is to keep the air he (the patient) breathes as pure as the external air, without chilling him.” She goes onto say that air containing foul smell can enter the patient’s ward, and this poisons the air the patient is breathing. While it is true that clean and fragrant air is indeed good for health, the opposite need not be true. Foul smelling air does not necessitate a decrease in health. Proponents of the Miasmata Theory were so parochial in their fervent conviction of the veracity of this theory that they refused to be the least bit receptive to Snow’s findings. This adamance by those who believed in the Miasmata Theory caused cholera deaths to continue for another decade, as Snow was left to find a foolproof method that would clearly indicate that water, not air, was the cause of cholera.

Tea, Beer, and Water

It was said that tea might have helped the population of urban spaces increase because it has antibacterial properties.  Tea became “a staple of even working class diets by the 1850s” (95).  In addition, there were many people who drank beer, which also has antibacterial properties, although it isn’t too good for the liver.  This would explain why the cholera epidemic died down for a few years, but why did it come back up again in 1853?

Henry Whitehead had visited many homes and he could point out some cases where people would make a dramatic recovery from cholera.  In these cases he noted that they “had consumed large quantities of water from the Broad Street pump since falling ill.  The speed and intensity of their recovery made an impression on Whitehead that would linger in his mind through the coming weeks” (111).  I think it’s interesting how cholera was being spread to people who drank from that pump, but drinking additional, large quantities of water from this source would cure people.  It doesn’t make sense to me because I would think that adding more harmful bacteria into your body would make you more sick.  Maybe they turned the water into tea first.  Also, I thought the history behind the miasma theory was interesting.  I noticed how the part about sharply unpleasant smells was similar to our discussion in class two weeks ago about how the smells do not cause illness, but are a signal to alert us that whatever is producing the smell is.

The Hidden Cause

The concept of people being sick because they deserve it and must have done something unfavorable in the eyes of God is not a new one. It’s an easy explanation given by the strictly religious and/or well-off parts of society who are spared from whatever epidemic is going on. I found it interesting that not only was this reasoning completely inaccurate during the cholera epidemic in London, Snow found two places where tens of people were spared: the workhouse, home to some of questionable character, and the brewery, where the workers would drink malt liquor instead of water.

John Snow is now lauded for finding the cause of the cholera epidemic, but it was upsetting to read about how no one believed him because they believed so strongly in the miasma theory. Had the public known about V. cholerae being a waterborne disease, many lives would have been saved. This makes me wonder about the diseases and sicknesses that are prevalent now that don’t have cures. While the newspapers in Victorian London were lamenting that no one would ever find a cure, no one listened to the one man, one of the most respected doctors and scientists of the time, who knew the truth. What if the same thing is happening now with a cure for cancer, or AIDS, or Alzheimers or any of the other illnesses we listed in class? What if someone has the cure everyone is desperate for but no one is willing to hear them out and fund the research?

Field Trips

Map of field trips using the Maps Marker plug-in (to be discussed in class on 2/21)

Field Trips

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Queens Museum: 40.745666, -73.846501
Democracy Now: 40.745685, -73.995159
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Queens Museum
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Feb 28: the panorama at the Queens Museum. we will meet at 12:30 at the Bedford Ave gate and travel together.

http://www.queensmuseum.org/about/general-information

Queens Museum of Art, Queens, NY
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Democracy Now
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March 7 (optional): meet 7:30am at the studios of Democracy Now, a nationally broadcast independent news program. The studio address is 207 W. 25th street, 11th floor, between 7th and 8th avenues in Manhattan.

http://www.democracynow.org/

 

Democracy Now!, New York, NY

Second to survival?

After reading these chapters, I became interested in the public’s, despite class, opinion on his the epidemic should be researched and handled. Chapter 4 discusses how John Snow based his research on various uncertainties (for example: he was unsure how V. Cholerae appeared under a microscope) as well as the fact that Snow relied on the success of the disease in order to study it’s patterns, symptoms, and cases.

This may be blunt, but why does it seem, like people weren’t taking the study this epidemic to seriously? The existence of the miasma argument shows that society did not understand the spread of disease as we do today, but after reading about the historical fear of unsanitary drinking water it seems like the answer was right in front of their faces.

The text constantly describes the ever decreasing quality of life in London, even comparing it to the plague, but was this not apparent to the citizens of this city? Or did it just come second to survival?