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IELTS Academic Reading Practice Test 276

Part 1 · Read the text and answer questions 1–13

You should spend about 20 minutes on Questions 1–13, which are based on Reading Passage 1 below.

The Pump in Broad Street

In the last week of August 1854, cholera broke out in Soho, in the centre of London. The first cases appeared near Broad Street, and within days the disease had reached the surrounding courts and alleys. Its symptoms were terrifying: violent diarrhoea and vomiting, muscular cramps and a loss of fluid so rapid that a healthy adult could die within hours. Nobody knew what caused it. Most British doctors were convinced that cholera was carried in foul air, a theory known as miasma. The remedy, they argued, lay in clearing the smells of the streets, the drains and the homes of the poor.

The man who would change that view was John Snow, born in York in 1813, the son of a labourer. Apprenticed at fourteen to a surgeon in Newcastle upon Tyne, he moved to London in 1836 and qualified as a doctor two years later. He built a practice in Soho and earned his living as an anaesthetist, at a time when the use of ether and chloroform to deaden pain in surgery was still a novelty. In 1853 he gave chloroform to Queen Victoria during the birth of a prince, an event that made his name in fashionable circles. His real interest, however, lay elsewhere.

Snow had been brooding on cholera since the epidemic of 1848–49. He rejected the idea that the disease travelled in the air. It was, he maintained, the work of a living agent that multiplied inside the intestines of a patient, was expelled in the stools, and reached the next victim through water contaminated with sewage. In 1849 he published a short book setting out the case. It attracted little notice. What he lacked was evidence so plentiful and so precise that it could not be argued away.

The outbreak of 1854 supplied it. Snow lived a few minutes' walk from Broad Street, and he began visiting the houses where people had died, questioning their families and marking each death on a map of the parish. The marks clustered around one source: the pump in Broad Street, which stood at a corner of the thoroughfare and drew customers from several surrounding courts. Where deaths had occurred at a distance, Snow usually found that the family had sent for water from that pump, or had moved away but still preferred its taste.

Snow took his findings to the parish authorities. On 8 September 1854 the board of guardians agreed to take away the handle of the pump, and it was removed that day. The epidemic was already fading, and the removal probably did less to end it than legend suggests. It did, however, give Snow's argument a public hearing. By the time the outbreak was over, 616 people in the parish had died.

His strongest evidence came from a comparison that had nothing to do with Broad Street. Two private companies supplied water to the same districts of south London, sometimes to the same street. The Southwark and Vauxhall company drew its water from a stretch of the Thames thick with the city's sewage. The Lambeth company had recently moved its intake upstream, beyond the reach of London's waste. Snow went from house to house recording which company served each one, and then compared the deaths. Among customers of the dirtier supply the death rate was many times higher. He called this his 'grand experiment'.

The medical and official world was not convinced. The official reports on the epidemic, written by William Farr at the General Register Office, gave contaminated water a minor role and placed the main weight of their argument on elevation, drainage and smell. Snow died in 1858, aged forty-five, with his explanation still a minority view among doctors. He had convinced a few people, however, and one of them proved unexpectedly useful.

Henry Whitehead was the young curate of St Luke's, the church whose parish covered Broad Street. He knew the neighbourhood and its people, and he set out to disprove the water theory, which seemed to him to ignore the obvious fact that disease passed from person to person. Interviewing families, he found something Snow's map could not show. In one house in Broad Street a baby had died of cholera a few days before the outbreak began. Its infected water had been emptied into a cesspool a few feet from the well that fed the pump, and the brickwork of the cesspool was found to be in poor repair. Whitehead became a convert.

The identity of the cholera organism was established separately. In 1854 an Italian anatomist, Filippo Pacini, described comma-shaped bacteria in the intestines of victims, but his work was ignored for decades. It was the German physician Robert Koch who isolated the organism in 1883 and showed how it produced the disease. Public health moved faster than bacteriology. After an outbreak in east London in 1866, Farr accepted that water carried cholera, and the expansion of piped, filtered and sewered supplies followed.

Snow's reputation recovered far more slowly. The pump is gone, but a replica stands in Broadwick Street, as the street is now called, and the pub beside it carries his name. Historians of public health describe his work as the foundation of modern epidemiology, the study of how disease moves through a population. His method, rather than his theory, is what endures: count the cases, compare the groups and let the numbers speak.

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Questions 1–6◎ Practise this set only

Complete the table below. Choose ONE WORD ONLY from the passage for each answer.

Write ONE WORD ONLY for each answer.

John Snow and the outbreak of 1854

DateEventDetails

1830s–1840s

Early career

Trained in Newcastle, then supported himself in London as an

1849

Book on cholera

Argued that the disease was caused by a living

September 1854

Broad Street outbreak

Recorded the addresses of victims on a of the parish

8 September 1854

Meeting of the board of guardians

Agreed to remove the pump's

1854

'Grand experiment'

Compared death rates among customers of two water

Afterwards

Whitehead's inquiry

Traced the infection to a leaking beside the well

Questions 7–13◎ Practise this set only

Do the following statements agree with the information given in Reading Passage 1? Choose TRUE if the statement agrees with the information, FALSE if the statement contradicts the information, or NOT GIVEN if there is no information on this.

In the 1850s, most doctors in Britain believed that cholera was spread by bad air.
John Snow came from a wealthy family.
People living near Broad Street had complained to the parish about the water before the outbreak.
The number of deaths had already begun to fall before the pump handle was taken away.
The two water companies served different districts of London.
Snow saw his explanation of cholera become the accepted view during his lifetime.
Whitehead set out to show that Snow's theory was wrong.

About this reading test

A full IELTS Academic Reading practice test with 40 questions on three original history passages: John Snow and the 1854 cholera outbreak, the medieval English wool trade, and whether honours awarded in the past should now be withdrawn. Includes a timer, band estimate and explanations.

PartPassageQuestionsQuestion typesTopicsWords
1The Pump in Broad Street1–13Table completion, True / False / Not GivenHealth, History, Science899
2The Fleece and the Crown14–26Matching headings, Summary completionHistory, Business & Economics, Food & Farming885
3Taking Down the Great and the Good27–40Matching headings, Yes / No / Not Given, Multiple choiceSociety, History, Arts & Culture911

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All passages and questions on Sprechify are written by our own team in the official IELTS format. They are not taken from Cambridge IELTS books or any other published test. Band scores are estimates based on the conversion commonly used for practice tests.

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