That it is conveyed through water is as certain as that the sun rises
and sets. The only embarrassment in proving it lies in selecting from
the swarm of instances. There is the classic case of the Swiss villages
on opposite sides of the same mountain chain, the second of which drew
its water-supply from a spring that came through the mountain from a
brooklet running by the first village. Typhoid fever broke out in the
first village, and twenty days later it appeared in the second village,
twenty miles away on the other side of the mountain. Colored particles
thrown into the brook on one side promptly appeared in the spring upon
the other. Then there was the gruesome modern instance of Plymouth,
Pennsylvania, in 1885. A single case of imported typhoid occurring on
the watershed of a reservoir was followed, thirty days later, by an
epidemic of eleven hundred cases in a population of eight thousand.
An equally vivid instance came under my own observation. A school and a
penitentiary drew their water-supply from the same power-flume, carrying
a superb volume of purest water from a mountain stream. Early in the
autumn a single case of typhoid appeared in a small town near the head
of the flume. The discharges were thrown into the swiftly running water.
Two weeks later an epidemic of typhoid broke out in the school, and
three weeks later in the penitentiary. An unexpected freak, however, was
the appearance of fifteen or twenty cases in another state institution
farther down on the same stream, which did not draw its water-supply
from the flume, but from deep wells of tested purity. This was a puzzle,
until it was found that, owing to a fall in the wells, the water from
the flume had been used for sprinkling and washing purposes in the
institution, being allowed to run through the water-pipes only at night,
while the well-water was used in the daytime. This was enough to
contaminate the pipes, and a small epidemic began, which promptly
stopped as soon as the cause was suspected and the flume-water no longer
used.
This last instance is peculiarly interesting, as illustrating how
typhoid infection gets into milk, the second--though at a long
interval--most frequent means of its spread. It does not come from the
cow, for, fortunately, none of the domestic animals, with the possible
exception of the cat, is subject to typhoid. Nor is it possible that
cattle, drinking foul and even infected water, can transmit the bacillus
in their milk. That superstition was exploded long ago. Every epidemic
of typhoid spread by milk--and there are scores of them now on
record--can be traced to the handling of the milk by persons suffering
from mild forms of typhoid, or engaged in waiting upon members of the
family who are ill of the disease, or the dilution of milk with infected
water, or even, almost incredible as it may seem, to such slight
contamination as washing the cans with infected water.
Public-domain text, read in full here on John Shaqi.
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