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was an unpopular and frightening <br />theory. Many people believed that <br />the poor suffered as a result of their <br />shiftlessness and sinful living and <br />deserved retribution in the form of <br />catastrophic disease. <br />Even though many people doubted <br />and disapproved of Snow's contami- <br />nated water theory, Dr. Snow <br />persuaded the authorities to remove <br />the Broad Street pump handle. This <br />simple act saved the lives of many <br />people and marked the beginning <br />of the end of a tragic situation. <br />We now know that people can avoid <br />cholera infection by making sure <br />their water supplies are clean. <br />Unfortunately, in developing coun- <br />tries where only 35 percent of the <br />population has access to clean water, <br />cholera epidemics continue. <br />Modern medicine has produced <br />a vaccine against cholera, but <br />it must be repeated every <br />six to twelve months <br />because the antibodies <br />are short lived. Too <br />often, though,. citizens <br />of impoverished <br />nations do not have <br />the funds to procure <br />the vaccine. Used for <br />centuries in India, the <br />most effective treatment is <br />to provide the victim with <br />copious amounts of liquids and. <br />rehydration salts. This method <br />replaces lost body fluids and electro- <br />lytes and flushes out the bacteria. <br />After the pathogen has been purged <br />from the body, antibiotics can. <br />promote the victim's recovery. <br />Cholera has been absent from the <br />Western Hemisphere for most of this <br />century. Nonetheless, health officials <br />warn that the United States could. <br />experience outbreaks of cholera and <br />other waterborne diseases. As <br />population increases, more waste <br />products are generated, a situation <br />that can strain the abilities of mtuuci- <br />palities to maintain plentiful and <br />clean water supplies. <br />r edure <br />Warm Up <br />Ask students to share mysteries they <br />have read or seen on television. <br />Discuss how detectives solve crimes <br />in general: they identify the crime, <br /> <br />Dr. John Snow is considered fo be the father <br />of epidemiology. <br />determine the method or weapon <br />used, seek and question eyewit- <br />nesses, search for clues, etc. <br />Narrow the discussion to serial <br />crimes, such as a series of burglaries. <br />Haw do investigators track the <br />culprit? Have students list what they <br />would look for. Students may have <br />seen television shows in which <br />detectives post a map of an area and <br />mark the location of each crime, <br />looking for a pattern. The detectives <br />then try to determine if the crimes <br />occurred within similar time frames <br />and if the victims shared common <br />characteristics. <br />Explain that scientists, particularly <br />epidemiologists, identify, trace, and <br />arrest diseases in the same manner <br />that detectives solve crimes. <br />Tile AC{'taSfYf <br />1. Tell students that in 1854 a <br />cholera epidemic broke out in the <br />slums of London. Without mention- <br />ingwater describe the symptoms of <br />cholera. Tell the class that through- <br />out history this disease has killed <br />millions of people, and that hun- <br />dreds died in the 1854 epidemic One <br />man, Dr. John Snow, discovered the <br />source and stopped the epidemic. <br />2. Inform the class that they will <br />be given the same information that <br />Dr. Snow possessed and will try to <br />solve the mysterious epidemic. <br />. 3. Davide students into groups <br />and give each group a Broad <br />Strect Area Map, a set of <br />Victim Cards, and a <br />mazking pen. (If after five <br />minutes, any group has <br />not begun to mark the <br />location of victims on the <br />map, suggest this as a <br />logical strategy.) <br />4. Allow the lass 20 minutes <br />to fill out the map, study the <br />Victim Cards, and write down all <br />common characteristics. <br />5. Ask if any group has located the <br />source of the epidemic. Without <br />telling the groups whether they are <br />right or wrong, ask how they arrived <br />at their conclusions. <br />6. One at a time, have different <br />students read the Clue Cards aloud. <br />The cards reveal additional informa- <br />tion uncovered by Dr. Snow. As <br />more information is given, students <br />will either confirm or revise their <br />conclusions. <br />9~ ©The Watercourse and Western Regional Environmental Education Council (WREEC). <br /> <br />