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Science of Water : Concepts and Applications

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9<br />

<strong>Water</strong> Treatment<br />

If you visit American city,<br />

You will fi nd it very pretty.<br />

Just one thing <strong>of</strong> which you must beware:<br />

Don’t drink the water…<br />

INTRODUCTION *<br />

—T. Lehrer (1966)<br />

He w<strong>and</strong>ered the foggy, fi lthy, corpse-ridden streets <strong>of</strong> 1854 London searching, making notes,<br />

always looking … seeking a murdering villain—<strong>and</strong> fi nd the miscreant, he did. He took action; he<br />

removed the h<strong>and</strong>le from a water pump. And, fortunately for untold thous<strong>and</strong>s <strong>of</strong> lives, his was the<br />

correct action—the lifesaving action.<br />

He was a detective—<strong>of</strong> sorts. No, not Sherlock Holmes—but absolutely as clever, as skillful, as<br />

knowledgeable, as intuitive—<strong>and</strong> defi nitely as driven. His real name: Dr. John Snow. His middle<br />

name? Common Sense. Snow’s master criminal, his target—a mindless, conscienceless, brutal<br />

killer: cholera.<br />

Let us take a closer look at this medical super sleuth <strong>and</strong> at his quarry, the deadly killer<br />

cholera—<strong>and</strong> at Doctor Snow’s actions to contain the spread <strong>of</strong> cholera. More to the point, let us<br />

look at Dr. Snow’s subsequent impact on water treatment (disinfection) <strong>of</strong> raw water used for potable<br />

<strong>and</strong> other purposes.<br />

DR. JOHN SNOW<br />

Dr. John Snow (1813–1858), an unassuming—<strong>and</strong> creative—London obstetrician, achieved prominence<br />

in the mid-19th century for proving his theory (in his On the Mode <strong>of</strong> Communication <strong>of</strong><br />

Cholera) that cholera is a contagious disease caused by a “poison” that reproduces in the human body<br />

<strong>and</strong> is found in the vomitus <strong>and</strong> stools <strong>of</strong> cholera patients. He theorized that the main (although not<br />

the only) means <strong>of</strong> transmission was water contaminated with this poison. His theory was not held in<br />

high regard at fi rst because a commonly held <strong>and</strong> popular countertheory stated that diseases are transmitted<br />

by inhalation <strong>of</strong> vapors. Many theories <strong>of</strong> cholera’s cause were expounded. In the beginning,<br />

Snow’s argument did not cause a great stir; it was only one <strong>of</strong> many hopeful theories proposed during<br />

a time when cholera was causing great distress. Eventually, Snow was able to prove his theory. We<br />

describe how Snow accomplished this later, but for now, let us take a look at Snow’s target: cholera.<br />

Cholera<br />

According to the U.S. Centers for Disease Control <strong>and</strong> Prevention (CDC), cholera is an acute, diarrheal<br />

illness caused by infection <strong>of</strong> the intestine with the bacterium Vibrio cholera. The infection<br />

is <strong>of</strong>ten mild or without symptoms, but it sometimes can be severe. Approximately 1 in 20 infected<br />

persons have severe disease symptoms characterized by pr<strong>of</strong>use watery diarrhea, vomiting, <strong>and</strong> leg<br />

cramps. In these persons, rapid loss <strong>of</strong> body fl uids leads to dehydration <strong>and</strong> shock. Without treatment,<br />

death can occur within hours.<br />

* Adapted from Spellman, F.R., Choosing Disinfection Alternatives for <strong>Water</strong>/Wastewater Treatment, Boca Raton, FL,<br />

CRC Press, 1999.<br />

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