How a few scientists transformed the way we think about disease Tien Nguyen

What if I told you that all illnesses,

things like the cold,
the flu, strep throat,

came from wandering
clouds of poisonous vapor?

You’d probably think that absurd,
and, don’t worry, it’s completely wrong.

Yet that’s actually what people thought
caused diseases for several centuries.

They called it miasma theory,

and everyone from the public
to the medical establishment accepted it.

But by the 1840s, in the midst of
devastating cholera outbreaks in London,

a small group of scientists
had grown skeptical.

Early microscopes had revealed
the existence of tiny microorganisms,

and they proposed that it was actually
these germs that cause diseases,

hence the name germ theory.

Though most people held
onto their assumptions

and strongly resisted this theory,

its supporters were determined
to prove them wrong

by collecting compelling data.

Leading the charge was a physician
named Dr. John Snow.

Dr. Snow observed that
cholera-infected patients

experienced severe vomiting and diarrhea,

symptoms of the gut
as opposed to the lungs,

and thought that perhaps the disease
was transmitted through food or drink,

not the air.

After investigating previous outbreaks,

he became convinced

that cholera was spread
through contaminated water sources.

Then, late in the summer of 1854

when cholera suddenly struck
the Soho district,

a neighborhood in London
very close to his own,

Dr. Snow was hot on its trail.

He requested the records for the deceased,

and within the first week,
there had already been 83 deaths.

He mapped out where each
of the deceased had lived

and found that 73 of them resided
close to the water pump on Broad Street.

Dr. Snow strongly recommended
shutting down the pump,

and because he knew how unpopular
germ theory was,

he suggested that cholera was spread
through a poison in the water

instead of microorganisms,

when presenting his case
to governmental officials.

They were unconvinced,

but agreed to shut down the pump
as an extra precaution.

Almost immediately,
new cases of infection subsided.

Bolstered by his success,

Dr. Snow was determined to connect
the contaminated pump water

to the disease.

He found the story of a widow
who had died of cholera

and lived far away from Soho,

but had a servant bring her water
from the Broad Street pump daily

because she liked the taste.

He also discovered a workhouse

located around the corner
from the Broad Street pump

that housed hundreds of people,
but only a handful had become infected,

which Dr. Snow attributed to the fact

that the workhouse
had its own private well.

Finally, Dr. Snow heard of an infant

who may have been one
of the earliest victims of the outbreak.

He learned that the child’s dirty diapers

had been thrown into a cesspool

right next to the public water pump
on Broad Street.

Again, Dr. Snow presented his case,

but even then,
city officials spurned his theory,

not wanting to admit that there
was human waste in London’s water supply,

or that they were wrong
about miasma theory,

which was, after all,
hundreds of years old.

It wasn’t until 1884
that Dr. Snow’s efforts

were vindicated by Dr. Robert Koch,

who isolated
the cholera-causing bacterium.

Koch developed a technique
to grow pure cultures,

and through a series of experiments,

definitively proved
that a specific bacterium

directly cause disease.

Major contributions to germ theory

also came from prolific scientist
Louis Pasteur,

whose study of microorganisms led
to the development of the first vaccines.

By challenging assumptions
with data-driven research,

these scientists discredited
an age-old theory

and sparked a revolution that was
incredibly beneficial to public health.

But all of this raises the question,

what are the widely held
scientific beliefs of today

that our descendants will find ridiculous?

And as any scientist would tell you,

a question is an excellent place to start.

如果我告诉你所有的疾病

,比如感冒
、流感、链球菌性咽喉炎,

都来自四处游荡
的毒气云,你会怎样?

你可能会认为这很荒谬,
而且,别担心,这是完全错误的。

然而,这实际上是
几个世纪以来人们认为会导致疾病的原因。

他们称之为瘴气理论,

从公众
到医疗机构的每个人都接受了它。

但到了 1840 年代,
伦敦爆发了毁灭性的霍乱疫情,

一小群科学家
开始持怀疑态度。

早期的显微镜揭示
了微小微生物的存在

,他们提出实际上正是
这些细菌引起了疾病,

因此得名细菌学说。

尽管大多数人
坚持他们的假设

并强烈反对这一理论,但

它的支持者决心

通过收集令人信服的数据来证明他们是错误的。

领导这项指控的是一位
名叫约翰·斯诺博士的医生。

斯诺博士观察到
感染霍乱的患者会

出现严重的呕吐和腹泻

症状,这些症状是
肠道而非肺部的症状,

并认为这种疾病可能
是通过食物或饮料传播的,

而不是通过空气传播的。

在调查了以前的暴发后,

确信霍乱是
通过受污染的水源传播的。

然后,在 1854 年夏末,

霍乱突然袭击
了伦敦附近的 Soho 区,

斯诺博士在它的踪迹上变得炙手可热。

他要求死者的记录

,在第一周内,
已有83人死亡。

他绘制了
每个死者的居住地

,发现其中 73 人居住
在 Broad Street 的水泵附近。

斯诺博士强烈建议
关闭水泵

,因为他知道
细菌理论是多么不受欢迎,

他在向政府官员陈述他的案例时建议霍乱是
通过水中的毒物

而不是微生物传播的

他们不相信,

但同意关闭泵
作为额外的预防措施。

几乎立即,
新的感染病例就消退了。

受到成功的鼓舞,

斯诺博士决心将
受污染的泵水

与疾病联系起来。

他发现了一个寡妇的故事
,她死于霍乱

,住在远离 Soho 的地方,

因为她喜欢这种味道,所以每天让仆人从 Broad Street 的水泵给她取水。

他还发现了一个济贫院,

位于
Broad Street 泵的拐角处

,那里有数百人,
但只有少数人被感染

,斯诺博士将此归因

于济贫院
有自己的私人水井。

最后,斯诺博士听说了一名婴儿

,他可能
是此次疫情最早的受害者之一。

他得知孩子的脏

尿布被扔进了布罗德街

公共水泵旁边的污水池

斯诺博士再次提出了他的案例,

但即便如此,
市政府官员也拒绝承认他的理论,

不想承认
伦敦的供水中有人类排泄物,

或者他们对瘴气理论是错误的

,毕竟这是
数百 岁。

直到 1884 年
,斯诺博士的努力

才被罗伯特·科赫博士证明是正确的,

他分离
出了引起霍乱的细菌。

科赫开发了
一种培养纯培养物的技术,

并通过一系列实验,

明确证明
了一种特定的细菌

直接导致疾病。

对细菌理论的主要贡献

还来自多产的科学家
路易斯巴斯德,

他对微生物的研究导致
了第一批疫苗的开发。

通过
用数据驱动的研究挑战假设,

这些科学家诋毁
了一个古老的理论,

并引发了一场
对公共卫生极为有益的革命。

但所有这一切都提出了一个问题,

我们的后代会觉得荒谬的今天广泛持有的
科学信念是

什么?

正如任何科学家都会告诉你的那样,

一个问题是一个很好的起点。