The practice of water treatment soon became mainstream and common, and the virtues of the system were made starkly apparent after the investigations of the physician John Snow during the 1854 Broad Street cholera outbreak. Snow was sceptical of the then-dominant miasma theory that stated that diseases were caused by noxious "bad airs". Although the germ theory of disease had not yet been developed, Snow's observations led him to discount the prevailing theory. His 1855 essay On the Mode of Communication of Cholera conclusively demonstrated the role of the water supply in spreading the cholera epidemic in Soho,[39][40] with the use of a dot distribution map and statistical proof to illustrate the connection between the quality of the water source and cholera cases. His data convinced the local council to disable the water pump, which promptly ended the outbreak.
STAT: The number of annual deaths from ESD in the U.S. are unknown, since they are counted among all drownings. But anecdotal evidence shows that ESD is widespread. ESD prevention groups have successfully urged some states to enact safety standards, including the installation of ground-fault circuit interrupters and a central shutoff for a dock's electrical system.