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After about 03:03 in Dr. Trefor Bazett's June 2023 video Why this pattern shows up everywhere in nature || Voronoi Cell Pattern there is a discussion of a diagram representing work by John Snow

John Snow (15 March 1813 – 16 June 1858) was an English physician and a leader in the development of anaesthesia and medical hygiene. He is considered one of the founders of modern epidemiology, in part because of his work in tracing the source of a cholera outbreak in Soho, London, in 1854, which he curtailed by removing the handle of a water pump. Snow's findings inspired the adoption of anaesthesia as well as fundamental changes in the water and waste systems of London, which led to similar changes in other cities, and a significant improvement in general public health around the world.

Bazett uses the story of Snow's analysis as one example of the utility of Voronoi diagrams

The screenshot above shows an irregular polygon with roughly 40 sides and has about a half-dozen concavities - not typical for diagrams I've seen and made the polygons have in the ballpark of 3 to 6 sides and are always convex.

Of course the 2D Voronoi diagrams I look at and make are based on line-of-sight distances:

$$r_{ij}=\sqrt{(x_i-x_j)^2 + (y_i-y_j)^2}$$

and that's not how people walk.

So I'd like to ask:

Question Why doesn't John Snow's Voronoi diagram look like one? How was the diagram made? (distance to cholera-spreading water pump in 19th century London)

From the video:

Proving Cholera is waterborne one one of the most infamous examples of use cells to actually solve something occurred in the 1850s when there was a cholera epidemic in London and Jon Snow a physician in London not Game of Thrones discovered something kind of interesting. He noticed that there was a water pump on the map and in fact there were many water pumps in London, but when you try to map out which water pump is closest well he came up with a map that looks something like this.

This region was the portion of London that was all closest to this one pump, and then you'll notice in the map there's there's all these stacked lines those stack lines represented deaths to cholera and you'll notice how those are largely constrained within that geographic area. And so Jon Snow used this evidence to help support the theory that cholera was a waterborne transmission. And in effect this is a type of Voronoi cell. It's this particular cell that has the majority of these cholera outbreaks and because it's associated with a single water source then that's good evidence that cholera is waterborne - another great application...

  • $\begingroup$ I've added the medicine tag because [epidemiology], [public-health] and [disease] aren't available and I don't think biology is a good fit. Asked in Math SE: What is the minimum and maximum number of sides of a polygon in a 2D voronoi diagram? $\endgroup$
    – uhoh
    Commented Jun 25, 2023 at 0:41
  • 2
    $\begingroup$ Why does it not look like a Voronoi cell? Perhaps: easiest travel routes in London may not be along straight lines. That is, this is a Voronoi cell for the "travel time" metric, not the Euclidean "as the crow flies" distance. $\endgroup$ Commented Jun 25, 2023 at 1:05
  • $\begingroup$ @GeraldEdgar Yep, I'd suggest Manhattan distance but this is London :-) $\endgroup$
    – uhoh
    Commented Jun 25, 2023 at 1:21
  • 1
    $\begingroup$ You may be interested to visit cran.r-project.org/package=cholera and then look at the vignettes. The authors there has made a detailed study of John Snow's famous map. If you are not an R user do not worry you do not need to run the package to look at the vignettes. $\endgroup$
    – mdewey
    Commented Jun 25, 2023 at 13:30

1 Answer 1


More of comment. It's easier to comment on an observation with a diagram.

enter image description here

In the diagram above you'll see I've added some hand drawn quasi circular shapes. The red and blue shapes highlight pumps. The brown shape highlights a dead end street.

The diagram is supposed to represent a boundary for those who used the red pump as their water source.

Because of access issues, people who lived on the dead end street would have had a longer journey to use the red pump, so they most likely would have used the blue pump, hence that street has been removed from the diagram.

I can recall, in the recent past (a few years back) either reading or seeing a You Tube video about the history of looking a water pumps as the source of illnesses in London during the period in question. Apparently, researchers at the time door knocked at people's abodes and asked them which pump they used as their water source, in addition to asking about illnesses and deaths in the households. If that was the case, it becomes an easy exercise to draw the boundaries for each pump region/cell.


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