STUDENT OVERVIEW London 1854: Cesspits, Cholera and Conflict over the Broad Street Pump A Chapter-length RTTP Science Game for Biology and General Science Courses Marshall L. Hayes (
[email protected]) and Eric B. Nelson (
[email protected]) Dept. of Plant Pathology and Plant-Microbe Biology Cornell University ‘The first victim to die of cholera in Sunderland’ reproduced in Snow (2002) Int J Epidemiol 31: 908 Cesspits, Cholera and Conflict takes place on the evening of September 7, 1854 at Vestry Hall in Soho, Greater London. You are a member of a special emergency response committee of the local Board of Governors and Directors of the Poor of St. James Parish, who have convened to respond to the deadly outbreak of Cholera that has claimed the lives of more than 500 parish residents over the preceding eight days. Historically, the outcome of this meeting was the decision to remove the pump handle from a contaminated neighborhood pump on Broad Street. This decision and the events leading up to it are considered a defining moment in the development of modern approaches to public health, epidemiology and municipal waste management. This role play is designed to highlight various aspects of the historical debate. In your role as a Board member, you and your colleagues will debate three central questions: • What is the source of this disease outbreak? • How is cholera communicated from person to person? • What steps should be taken to contain the outbreak? 1 You are asked to complete the following four tasks over the course of the role play: 1.