=Diarrhœa= may be caused by animal contamination of water. It most often occurs in summer, when all the circumstances are favourable to active fermentative changes. The summer diarrhœa of infants is caused by similar changes in milk or other foods. The presence of fœtid gases in water may lead to diarrhœa. This may occur when the overflow pipe of a cistern opens into the soil pipe or into the trap of the W.C. =Dysentery=, like cholera and enteric fever, may be propagated by water contaminated with the stools of a patient suffering from the same disease. =Malaria or Ague= has been stated to be caused by the water of malarious marshes. The evidence on this point requires revision, in view of the part which the mosquito is now known to play in the propagation of this disease (pages 282 and 307). =Enteric= (_otherwise called Typhoid_) =fever= is most often due to the drinking of water contaminated with sewage. The balance of evidence is in favour of the view that in order to produce enteric fever water must be contaminated with the stools or urine of a patient who has suffered from this disease. Numerous instances are on record in which villages, the inhabitants of which drink sewage-contaminated water, have remained free from enteric fever, until a patient suffering from it has come to the village, when the spread by water has been very rapid. Occasionally no known contamination from a case of enteric fever has preceded the outbreak of this disease which has been caused by sewage-contaminated water. It must be remembered on this point that the urine of an enteric fever patient may occasionally contain large numbers of the bacillus causing this disease for several months after the patient is well (page 301). The contamination of water with sewage may occur in various ways. In country places surface wells and small streams commonly supply the drinking water, and these are frequently contaminated. The illustration (Fig. 9) shows the percolation of excretory matters from an out-door closet through the porous gravel, into a neighbouring well; the result being an epidemic of enteric fever among those who drank the water of the well. Alterations in the level of the subsoil water are sometimes followed by an outbreak of enteric fever (p. 70). A sudden fall of rain occurs, and the excess of water in the soil absorbs the soakings from country privies or cesspools, and carries them into the nearest well. The percolation of tainted water through a considerable tract of land, possibly along fissures, is sometimes insufficient to purify it, as proved by a remarkable epidemic in the small village of Lausen, in Switzerland.