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Natural experiment

Empirical study

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Through Experiment, Nature and Economics

Natural experiments are generally more reliable when there is a clearly defined exposure or intervention that affects a well-defined subpopulation (with a comparable subpopulation remaining unexposed), such that differences in outcomes may be attributed to the exposure or intervention. In this sense, the difference between a natural experiment and a non-experimental observational study is that the former includes a comparison of conditions that pave the way for causal inference, but the latter does not.

Natural experiments are employed as study designs when controlled experimentation is extremely difficult to implement or unethical, such as in several research areas addressed by epidemiology (like evaluating the health impact of varying degrees of exposure to ionizing radiation in people living near Hiroshima at the time of the atomic blast) and economics (like estimating the economic return on amount of schooling in US adults).

History

One of the best-known early natural experiments was the 1854 Broad Street cholera outbreak in London, England. On 31 August 1854, a major outbreak of cholera struck Soho. Over the next three days, 127 people near Broad Street died. By the end of the outbreak 616 people died. The physician John Snow identified the source of the outbreak as the nearest public water pump, using a map of deaths and illness that revealed a cluster of cases around the pump.

In this example, Snow discovered a strong association between the use of the water from the pump, and deaths and illnesses due to cholera. Snow found that the Southwark and Vauxhall Waterworks Company, which supplied water to districts with high attack rates, obtained the water from the Thames downstream from where raw sewage was discharged into the river. By contrast, districts that were supplied water by the Lambeth Waterworks Company, which obtained water upstream from the points of sewage discharge, had low attack rates. Given the near-haphazard patchwork development of the water supply in mid-nineteenth century London, Snow viewed the developments as "an experiment...on the grandest scale." Of course, the exposure to the polluted water was not under the control of any scientist. Therefore, this exposure has been recognized as being a natural experiment.

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