John Snow and the 1854 Cholera Outbreak

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    Revisiting the first implementation ofSpatial Analysis with the Spatial Statistics

    Toolbox

    Joshua [email protected]

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    On August 31, 1854 after several

    outbreaks had already occurredelsewhere in the city a majoroutbreak of cholera struck Soho.

    Over the next ten days, over 500people on or near Broad Street died.

    Dr. John Snow wanted to prove hishypothesis that the cause of thedisease was contaminated water

    sources. He created a map, plottingrelated deaths and water pumps toillustrate how cases of cholera were

    centered around the Broad Streetwater pump.

    Snows map was unique as it was the first to use cartographic

    methods not only to depict a geographic area, but to also

    analyze clusters of geographically dependent phenomena .

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    Spatial statistics are tools that help analyze thedistribution and relationship of features spatially.

    Differing from traditional statistics, spatial statisticsimplement distance, area and space as an integral

    part of the analysis.

    As Dr. Snows GIS Analyst, we are hoping to spatiallyidentify the cause of the cholera outbreak

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    Measuring GeographicDistributions

    Mean Center

    Directional Distribution

    Analyzing Patterns

    Average Nearest Neighbor

    Spatial Autocorrelation

    High/Low Clustering tool

    Mapping Clusters

    Cluster and Outlier Analysis

    Hot Spot Analysis

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    The first step in our analysis is todetermine the center of ourcholera deaths. This will be a clueas to the location of thecontaminated water source. We will weight the features sothe mean center is more a measureof concentration than a measure ofpurely geographic distribution. In

    this case, we want to use thenumber of deaths at each point asthe weight. We will also create a standarddistance circle, a circle with a radiusequal to one standard deviation,with the mean center also thecenter of the standard distancecircle.

    What the mean center doesnttell us is whether the data isconcentrated or dispersed orwhether it has a directional trend.

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    The High/Low Clustering tool measures concentrations of high or low

    values for an entire study area.

    We will use this tool to see if buildings with numerous cholera relateddeaths are clustered. If so, the location of the contaminated water

    source could be within that cluster.

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    Legend

    !( < -2.0

    !(!( -2.0 to -1.

    !(!(!( -1.0 to 1.0

    !(!(!(!( 1.0 to 2.0

    !(!(!(!(!( > 2.0

    Looking for hot and cool spots in the data will help determine where there is a high

    concentration of cholera related deaths.

    In other words, we want to look for clusters of features with high values and clusters of featureswith low values.

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    Legend

    !( < -2.0

    !(!( -2.0 to -1.

    !(!(!( -1.0 to 1.0

    !(!(!(!( 1.0 to 2.0

    !(!(!(!(!( > 2.0

    We can also determine which clusters are statistically significant.

    Statistically speaking, that is a confidence of greater than 95% that it the cluster of high (or low)

    values is not a random occurrence.

    High Value Clusters

    Outlier

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    0

    50

    100

    150

    200

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    Deaths Per Water Pump

    Broad Street Little Marlborough Rupert

    Bridle Newman Warwick

    Beamers Marlborough Vigo

    Piccadilly Dean

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