Two historic investigations of epidemics which have thoroughly convinced
sanitarians that typhoid fever is a communicable disease and that water
is the vehicle for its transmission may be briefly cited.
In 1879 Dr. Thorne reported an epidemic in the town of Caterham,
England, which he had investigated, and disclosed the following facts:
The population of the village was 5800. The first case of fever appeared
on January 19. Others followed in rapid succession, until the number
reached 352, of whom in due time 21 died.
The possibility of infection was carefully looked into. The influence of
sewer air was ruled out because there were no sewers. The milk supply
was proved unobjectionable. No theory of personal or secondary infection
could account for the widespread prevalence, particularly as only one
isolated case had occurred during the preceding year, and this had been
imported.
Of the first 47 persons attacked, 45 lived in houses supplied with the
public water-supply, and the other two were during the day in houses
supplied with public water. Further, in the Caterham Asylum, with nearly
2000 patients, not a single case appeared, their water coming from
driven wells. Investigation of the water-supply showed the undoubted
cause of the epidemic. The public water-supply was derived from three
deep wells, connected by tunnels in the chalk. In one of these tunnels,
from January 5 to the end of the month, a laborer worked, who, though
unattended by a physician, was evidently suffering from mild typhoid
fever, the symptoms of the disease being carefully detailed by Dr.
Thorne. The laborer at the time of his going to work had a severe
diarrhoea, and while in the tunnel was obliged to make use of the
bucket, in which the excavated chalk was hauled to the top. He admitted
that at times the bucket, in being hauled up, would oscillate in such a
way as to spill part of its contents and thereby pollute the water of
the well below. Two weeks from this accidental pollution the epidemic
began, and there can be little doubt of the relation of this mild case
of typhoid to the epidemic which followed.
Public-domain text, read in full here on John Shaqi.
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