This letter by physician Edwin Miller Snow provides one of the earliest published accounts of an outbreak of cholera in 19th-century America. Snow's meticulous statistical analysis of the disease's spread and his recommendations for preventing future epidemics make this a valuable document for medical historians. The letter also bears witness to the human suffering and community response that accompanied the cholera outbreak in Providence. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the "public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant.