CHAPTER VII

_QUALITY OF WATER_

A pure water-supply has always been regarded as desirable and its value

can hardly be overrated, from the standpoint of health, happiness, or

economy. From the earliest history, no crime has been so despicable as

that of deliberately poisoning a well from which the public supply was

obtained, and in the past no charge more quickly could stir the populace

to riot. In Strassburg in 1348 two thousand Jews were burned for this

crime charged against them; and as late as 1832 the Parisian mob,

frantic on account of the many deaths, insisted that the water-carriers

who distributed water from the Seine, shockingly polluted with sewage as

it was, had poisoned the water, and many of the carriers were murdered

on this charge.

Yet no water, as used for drinking purposes, is absolutely pure,

according to the standards of chemistry. Distilled water is the nearest

approach to pure water obtainable, and it is said by physicians that

such water is not desirable as a habitual and constant beverage. The

human body requires certain mineral salts particularly for the bones and

muscles, and while these salts are provided in a large measure by food,

a number are also furnished by drinking water. On the other hand, a

wonderful natural process is accomplished by distilled or approximately

pure water in that the water tends to dissolve, to add to itself, and to

carry away whatever excess of solids may exist in the body. For certain

kidney diseases, for example, pure water is prescribed, not merely as a

means of preventing further accretions, but for the purpose of

dissolving and removing the undesirable accumulations already existing.

Practically, considerable latitude is possible in the matter of the

purity of drinking water, and no particular harm is to be apprehended by

the constant use of either a water containing as little as ten parts per

million of total solids or of water containing as much as three hundred

parts per million of total solids. The human body, in this as in so many

other ways, is so constituted as to be able to adjust itself to varying

conditions of food, and, until an excessive amount of ingredients are

absorbed, no great harm is done. There are, however, certain definite

substances--animal, vegetable, and mineral--which, when found in water,

are decidedly objectionable, and it is not the amount of foreign matter

in a water-supply, but its character, which is of importance in a water

to be used for drinking.

_Mineral matter in water._

The mineral matter is the least objectionable as it is also the most

common, since all water is forced to partake, more or less, of the

nature of the rocks and soil over which it passes. Good waters contain

from twenty to one hundred grains per gallon of mineral salts; that is,

of various chemical substances which are able to be dissolved by water.

If the amount is much in excess of one hundred parts, the water is

noticeably "hard," and this may increase to a point where the water

cannot be used. For example, the writer once superintended the locating

and drilling of a well which passed through a bed of sodium sulphate or

gypsum, just before reaching the water, so that as the latter rose in

the well it dissolved and carried with itself a large amount of this

salt, so much that the water was useless. Water containing more than one

hundred grains per gallon of such salts as magnesium sulphate or sodium

phosphate is a mineral water rather than a good drinking water, and

while an occasional glass may do no harm or may even have desirable

medicinal effects, such a water is not fit for constant drinking.

It is worth noting that many attempts have been made to show the

relative effect of various hard waters on the health. A French

commissioner reported that apparently people in hard-water districts had

a better physique than in soft-water districts. A Vienna commissioner

also reported in favor of a moderately hard water for the same reason.

It is to-day believed by many that children ought to have lime in water;

that is, ought to drink hard water to prevent or ward off "rickets" or

softening of the bones. An English commissioner, on the other hand, has

concluded that, other things being equal, the rate of mortality is

practically uninfluenced by the softness or hardness of the

water-supply. This same commissioner has also shown that in the British

Isles the tallest and most stalwart men were found in Cumberland and in

the Scotch Highlands, where the water used is almost invariably very

soft (Thresh's "Water-supplies").

It has been asserted that certain diseases, not necessarily causing

death, are caused by hard water, as calculus, cancer, goiter, and

cretinism; but, as already pointed out in Chapter II, no satisfactory

proof has ever been established. One must conclude that within

reasonable limits there is little to choose between a hard and soft

water for drinking purposes, although a change from a soft water to a

hard, or _vice versa_, usually produces temporary derangements.

_Loss of soap._

For washing purposes the value of a soft water is more marked. When a

hard water is used, a certain amount of soap is required to neutralize

the hardness before the soap is effective, and this takes place at the

rate of about 2 ounces of soap to 100 gallons of water for each part of

calcium carbonate per gallon, or about 3 ounces of soap to 10,000

gallons for each part per million increase in hardness.

The village of Canisteo, New York, has a hard spring water, the hardness

being recorded by the State Department of Health as 162.8 parts calcium

carbonate in a million parts of water. Clifton Springs water has a

hardness of 208. Catskill, New York, which gets its water from a stream

running down from the hillside, has a hardness of 22.1 or 140.7 parts

less than Canisteo. Mr. G. C. Whipple says ("Value of Pure Water") he

has found that 1 pound of soap is needed to soften 167 gallons of water

when that water has a hardness of 20 parts per million, and that each

additional part requires 200 pounds of soap to soften a million gallons.

If Clifton Springs and Catskill should each use 100,000 gallons per day,

the additional cost of the hard water, at five cents a pound for soap,

would be 20 x 140.7 x 0.05 = $140.70, provided all the village water

were neutralized with soap. Probably not over one fiftieth part of the

water is so neutralized, so that the added cost of soap is actually

about $2.80 a day. Whipple expresses this cost as _H_/100 = _D_, where H

is the hardness in parts per million and _D_ is the cost in cents for

every 1000 gallons used for all purposes. Thus Canisteo water costs

162.8/100 = 1.6 cents per 1000 gallons used, while Catskill costs only

22.1/100 or 0.2 cent on account of soap.

This discussion is intended to suggest a comparison between a well of

hard water and a surface supply of soft water, when both are available.

It should arouse an interest in securing a soft water as well as a clear

water, and the advantages of the softer water, in so far as soap

consumption alone is concerned, are seen to be not inconsiderable.

_Vegetable pollution._

The vegetable and animal matter is organic in its origin and nature, and

their effect on water may be taken up together.

Vegetable pollution is generally the result of decayed leaves, roots,

bark, and such other vegetable tissue as would be likely to be found

where the water-supply flows through a swamp or accumulates in hollows

and depressions. This sort of water is likely to have a brownish or

yellowish brown color, to have a slightly sweetish taste, and to be

soft, that is, free from mineral solids. Usually such water can be used

for drinking purposes without serious consequences. AEsthetically, it is

objectionable because of its color, and the city of Boston has expended

many thousands dollars in building channels around swamps and in

providing artificial outlets for swamps, so that the color of the water

collected on the watershed shall not show the color induced thereby.

Water from the Dismal Swamp of Virginia is so discolored as to look like

coffee, and yet, in the vicinity, it is much prized for drinking, and

formerly great pains were taken to fill casks with this water when in

preparation for a long sea voyage.

Such matter always has a marked influence on a chemical analysis of the

water, shows large amounts of nitrogenous matter, and apparently

indicates a polluted supply; but, if the reason for this apparent

pollution lies in the presence of a swamp, no danger to health therefrom

is to be apprehended. Such water also is less subject to decay or

putrefaction, and if a water-supply for a house is to be taken from a

small pond, a gathering ground containing swamps is likely to furnish a

more satisfactory water, color alone excepted, than one free from such

swamps.

_Pollution of water by animals._

Animal pollution usually comes from the presence on the watershed of

domestic animals, that is, cows, sheep, and horses, or from manure

spread on fields draining into the brook, or from barns or barnyards

close by the water. It is the presence of this sort of pollution that

furnishes the other kind of organic matter not to be distinguished by

chemical analysis from the organic matter just referred to, but vastly

more objectionable.

Drainage from houses and barns is responsible for the same kind of

animal pollution, and while it is difficult to prove by statistics that

such pollution is always dangerous to health, it is sufficiently

repulsive from an aesthetic standpoint to be done away with whenever

possible. Such pollution applies only to surface water, such as brooks

or lakes, and the best method of detecting and evaluating this pollution

is to make a careful inspection of the watershed.

If it is proposed to use the water from a certain stream for drinking

purposes, the first step should be to examine carefully the area

draining into the stream, to detect, if possible, all opportunities for

animal wastes to find their way directly into the stream and to note

whether fields sloping rapidly to the streams are manured; to see

whether the stream flows through pasture land in which cows are kept,

and especially to note whether houses with their accompanying

outbuildings are near enough the brook so that water may at any time

wash impurities down into the stream. Whenever a brook flows through

woodland free from all animal pollution and not subject to pollution

before entering the wood, the water is probably as pure as that in any

spring or well.

On the contrary, when the water in a brook flows through a meadow used

for pasture or through gullies, the sides of which are manured, or in

the vicinity of houses and barns, the water is probably unfit for

drinking purposes. This can be realized by standing at the edge of a

barnyard and watching the rain falling first on the roof of the barn,

then in larger quantities from the eaves on to the manure pile into the

yard below, then accumulating in pools of reddish black concentrated

liquid, until the volume is sufficient to form small rills which

gradually assemble into a fair-sized stream. Similarly, the pig-pen

drainage is washed out from under or even through the building, and,

after combining with the barnyard drain, is carried into the stream near

by. The very idea of drinking such filth is nauseating in the extreme.

It is common for small slaughter-houses to be built on the side of a

stream, so that the offal, carrion, and refuse of the place may be

carried off without effort on the part of the owner, and there are a

number of such places where brooks, used as places of deposit for

slaughter-house refuse, discharge directly into the reservoirs of water

works.

But this sort of animal refuse is not the most serious pollution. The

leachings and washings from privies and cesspools, carrying, as they do,

germs of contagious diseases, are most to be dreaded, and when a privy

(with no vault underneath) is built on the side of a steep ravine and is

so located that the natural drainage of the sidehill on which it is

built cannot help but run around and through the building, then the

pollution of the stream in the gulley is not only direct and inevitable,

but of a deadly sort (see Fig. 36). Fortunately, the germs thus carried

into the stream suffer the vicissitudes of all life exposed to the

attacks of hostile forces.

At the time of freshets the streams carry mud in abundance, which mud is

continually settling out of the water as opportunity offers, and with

this settlement of mud there occurs also the settlement of the germs.

Also the pathogenic or disease-producing germs are usually weaker and

more susceptible than the putrefactive and other organisms which are

found in the water in great abundance after any rain storm, and which

tend to inhibit or destroy the pathogenic germs. But some will survive,

and, with favoring conditions, may pass through the water-pipe to the

house, causing sickness, if not death.

[Illustration: FIG. 36.--Stream draining a privy.]

Any inspection of the watershed, therefore, should look to the

elimination of the dangers above described, and to the location of barns

and barnyards, pig-pens and poultry yards, privies and cesspools, so

that no direct drainage into the stream shall be possible.

It is out of the question for any surface water-supply to be pure, since

the mere fact of the passage of water over the soil inevitably results

in the collection of organic matter; and it is no exaggeration to say

that the time will inevitably come in this country, as it has already in

Germany, when no surface supply will be considered satisfactory unless

the water is filtered. The only alternative is water gathered from areas

that are owned by the individual and on which, therefore, all dwellings

may be prohibited, all cultivated land avoided, and where the primeval

forest may be restored, making the watershed equal to that from which

forest streams emerge.

But usually, in the case of a single house, it will not be possible

entirely to eliminate the dangers of surface pollution, although an

inspection will show the dangers, and possibly some of them may be

avoided. Certainly any direct drainage into the streams should be cut

out, as well as the drainage from barnyards in the immediate vicinity of

the point where the water is taken out. Just what percentage of

pollution may be eliminated in this way it is impossible to determine,

but it is not too much to say that no brook or pond should be used for a

water-supply of a house unless _every known pollution_ of an organic

nature has been removed. Under the most favorable circumstances there

will be enough accidental contamination to make the water at times

dangerous, and no added risks ought to be assumed.

In looking over a watershed the possibility of sewage entering the

stream is, of all pollutions, the most to be avoided. To adequately

investigate the quality of a stream, the inspector must satisfy himself

as to the point of discharge of the sewer of every house on the

watershed, and this must be done personally, without apparently

reflecting on the statements of the owner of the house. If any such

points of discharge are found, the sewage should be either diverted into

some other watershed, or spread out over the ground away from the

stream, or purified by some artificial treatment before discharge, or

else the creek water cannot be used.

The next point to be noted in the source of the water-supply is the

presence and location of privies. These nuisances should be as far back

from the banks of the streams as possible to eliminate all danger since

the surface of the ground always slopes toward some stream, and

pollution may be carried for considerable distances over or through the

soil. Water-tight boxes can be provided so that no possible pollution of

the surface-wash can occur, and if periodically the contents of these

boxes be hauled away and buried, the privy loses its dangerous

character. The city of Syracuse has installed on the watershed of

Skaneateles Lake a most admirable system of collection of privy wastes,

and the lake water is thoroughly protected, although there are several

hundred privies on the watershed.

Cesspools, in general, are not dangerous if they are located fifty feet

or more from the stream and if no overflow occurs.

Barnyards ought not to drain directly into streams, but when, as in so

many cases, the stream flows through the barnyard, the only remedy is to

move either the stream or the barnyard, and it is difficult to persuade

even a well-disposed neighbor to do either. It is sometimes possible to

appeal to his sense of right; but, too often, the neighbor feels that it

is his land, his barn, his drain, even his brook, and he will do

whatever he pleases with them, whether the water further down stream is

to be used for drinking purposes or not. The question resolves itself

into an inspection of the watershed and a determination of the existing

conditions. If those are tolerable, the water may be used. If evident

contamination is present, the water must usually be given up, and some

other source of supply sought.

_Well water._

The pollution of wells, if it exists at all, is usually very pronounced,

and it is probably safe to say that, except where buildings, drains, or

cesspools have been crowded too close to wells, or where some manifest

and gross cause of pollution exists, a well water is safe to drink.

To protect properly a well from gross pollution, two precautions should

be observed. The wall of the well should be built up in water-tight

masonry, so that surface wash cannot enter the well except at a depth of

at least six feet, and second, this water-tight masonry should be

carried above the surface of the ground at least six inches and the well

then covered with a water-tight floor so that no foreign matter can drop

through the floor into the well or can be washed in by the waste water

from the pump (see Figs. 28, 29, 30). If these precautions are taken, it

is safe to say that nine tenths of the pollution occurring in isolated

wells would be stopped.

Besides the above, a well may be polluted by a stream of underground

water washing the contaminating matter through the soil. Experiments

have been made to show this very plainly. A large number of bacteria

were placed six feet below the surface just in the top of the

underground stream of water. Within a week they were found in

considerable numbers in the water of the soil one hundred feet distant,

but when the same number of bacteria were placed in the soil four feet

below the surface above the level of the ground water, none of them

found their way into the water of the soil. This experiment shows the

folly of building a cesspool in the vicinity of a well when they both go

down to the same water level, since the contents of the cesspool will be

carried into the well if the underground stream flows in the proper

direction. A shallow cesspool, however, would not be open to the same

objection.

It is always difficult to detect the direction or flow of underground

water, and various technical and delicate methods have been selected to

make this determination. A very simple test, however, is to dig a hole

at the point where pollution is suspected, carrying the hole down to

where ground water is reached, and then to throw a gallon of kerosene

oil into the hole, and if the ground-water flow is toward the well, the

presence of kerosene in the well water will make the fact known. This

would not, however, prove that the actual contamination would produce

disease, since a liquid like kerosene can find its way through the pores

of the soil to much greater distances than bacteria can be carried. But,

to be on the safe side, water from such a well should not be used.

To make sure of the quality of the water proposed for a water-supply, it

is wise to have such water examined by a chemist. The chemist will make

certain determinations of ammonia and other chemical combinations, and

will report his findings with an interpretation or explanation of the

result. What he finds is not the presence or absence of disease or

disease germs, but substances that suggest or involve the presence of

organic pollution. A test is made for the number of bacteria, and a well

of spring water which contains more than about fifty in a cubic

centimeter is a suspicious water. Surface water, on the other hand, may

contain two or three hundred without being necessarily bad, the types of

bacteria being harmless. Generally, a chemist will also determine the

presence of the colon bacillus which is found in the intestinal tract of

man or warm-blooded animals. Wherever this is found, in even such a

small quantity as one cubic centimeter of water or less, there is strong

presumption that the water has been polluted by human wastes and is

therefore not fit to drink.

_Dangers of polluted water._

Since no evidence of the danger of drinking polluted water can be so

graphically expressed as by a direct reference to epidemics caused by

the unwise use of such water, it will not be out of place to refer

briefly to some of the instances in which a direct connection has been

traced between a specific pollution of a certain water and disease or

death resulting from it.

Although, as has already been explained, an infected water causes

various kinds of intestinal disorders, particularly among children, the

most characteristic evidence of pollution occurs when the noxious

material comes directly from a typhoid fever patient, so that this same

disease can be recognized as transmitted to another individual or

family. This transmission of typhoid fever, while in some cases very

plainly due to other agencies than water, as, for example, milk,

oysters, and flies, yet, by far the largest proportion of the

transmitted cases comes through the agency of polluted drinking water,

and there are many examples both of contaminated wells and streams which

emphasize this possibility beyond all question.

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.

A second illustration may be cited at Butler, Pennsylvania, which

occurred in 1903. The water-supply of Butler, a borough of 16,000

people, comes from a reservoir on the creek which flows through the

phase. On account of the gross pollution of the water at the

pumping-station, a long supply pipe has been laid from the reservoir

directly to the pumps. The water also was filtered through a filter of

the mechanical type. Through some accident the filter was thrown out of

service for eleven days, between October 20 and 31, 1903, and

unfortunately, on account of the failure of the reservoir dam, the water

was at that time being taken directly from the creek at the pump well,

and had been since August 27. Only ten days after the filter was shut

down, the epidemic broke out in all parts of the town. Between November

10 and December 19 there were 1270 cases and 56 deaths. In the

subsequent investigation it developed that not only was the stream

generally polluted by the sewage at various points above the intake, but

that there had been several cases of typhoid fever on the watershed,

some on a brook that enters the creek within one hundred feet of the

filter plant. As at Caterham, the inference is patent that the

introduction of some specific infection into the drinking water was the

direct cause of the general epidemic.

The occasional outbreaks of typhoid fever which occur in single families

are not so easy to explain, particularly since the small number of

persons affected does not usually call for a widespread interest on the

part of those experienced in such epidemics. In the Twenty-seventh

Annual Report of the New York State Department of Health, the following

description of an outbreak in a small hamlet, where the cause seems to

have been the use of a pond for a wash tub by some Italian laborers,

thereby transmitting the disease germs from their clothes to the water

afterwards used in a creamery, is given. The diagram, Fig. 37, shows

that the creamery secured its water for the purpose of washing cans from

a small pond by means of a gravity pipe line. The foreman of the

creamery, who boarded at the residence marked _A_, first contracted

typhoid fever. A week later an employee at the creamery also contracted

the fever, the residence of the latter being marked _B_ on the diagram.

About six weeks later the railroad station agent, living at the point

marked _C_, contracted the fever, and two weeks later his wife was

attacked with the same disease. The residences at _B_ and _C_ are only

about three hundred feet apart, both families taking their

water-supplies from a spring between the two, but nearer _B_. During the

summer previous to this outbreak a gang of Italian laborers, engaged in

double-tracking the Central New England Railroad, were housed in box

cars standing on one track of the railroad. One of the members of the

gang was reported to have been taken ill with a fever and was at once

removed, it was supposed, to a hospital in New York. It was the practice

of the Italian laborers to bathe and wash their clothes in the upper of

the two ponds from which water is supplied to the creamery by the pipe

line. All the persons who contracted the fever were supplied with milk

from the creamery. The foreman, who was the first to contract the fever,

used water from the creamery and from the well at the house where he

boarded. The other families, as already mentioned, used water from the

spring. The conclusions, therefore, are that the creamery in some way

became infected with typhoid fever, probably through the water-supply

from the pond, and that the first two cases were due directly to this

cause; that the station agent and his wife contracted the fever because

of the infection of the spring, either from some small stream which is

the outlet of the ponds or from some infection due to the illness of the

owner of the house _B_ near by. The report concludes as follows: "The

use of water for creamery purposes from a pond exposed to such

unwarranted and unchecked pollution as is shown here, or the permitted

abuse of a water-supply for a creamery, appears little less than

criminal negligence on the part of those responsible for the management

of the creamery."

[Illustration: FIG. 37.--Contamination of a creamery from the

water-supply.]

Another report in this volume of the New York State Department of Health

illustrates very well how a spring or well may be contaminated, and is

taken from a report on an outbreak at Kerhonkson, Ulster County. The

report reads as follows: "The village of Kerhonkson is built mainly on

the side of a mountain of solid rock covered by a thin top soil of

variable depth. Owing to its rocky nature, only one or two wells exist

throughout the whole place; such a thing as a drilled well has never

been seriously considered.

"The inhabitants obtain their drinking water from a well on the property

adjacent to and above the present school building, and known as the

"Brown" well, and from a clear spring at the bottom of the hill in the

rear of the village store and known all over the region as the

Loundsbury spring.

"The school building is an old-fashioned two-story ramshackle affair

with overhanging eaves, especially designed to obstruct light and darken

the upper schoolroom. The building is in the center of a pine grove 250

x 150 feet in size, which also obstructs the light and tends to dampen

the building. At the extreme ends of this school lot are two privies for

the boys and girls, built on loose stone foundations, innocent of mortar

or cement, which allows the water in heavy storms to wash out the fecal

contents of from nearly a hundred pupils down upon the habitations

below. Were the wells existing in the village as carelessly constructed

as the Brown well and the various privy vaults which I have inspected,

the loss of life from typhoid fever would be terrible indeed.

"Obtaining the names of all the patients who had suffered from this

disease, I found that all but three were Kerhonkson public school

pupils, and all had drunk the water of the before-mentioned well on the

Brown property. Two out of these three cases were mothers of pupils who

had been stricken with the fever and who had nursed the children through

their long and exhausting illnesses and afterward had been attacked by

the disease themselves, while the third and remaining case was a

puzzler. This boy had never been a pupil of the school in question, nor

had he partaken of any of the water of the suspected well. He was a

pupil of another school entirely and lived in an adjoining village a

considerable distance away. A special visit to him, however, developed

the fact that some time before his illness he had come to the village

store in Kerhonkson to purchase goods and had drunk water from the

Loundsbury spring.

"Two years ago two cases died of typhoid fever on the property on which

the Brown well is situated. Their stools were treated with lime and

buried on the hill behind the house. Three cases of the same fever have

occurred in the same house this season. The well in question is laid up

with stone and cement and was supposed to be tight and impervious to

surface water contamination. Investigation, however, proved that there

were openings in the stone work in the side toward the privy. On

examining the privy it was found that the foundation was composed of

loose stones without cement or mortar that would readily allow the fecal

contents to be washed down toward the well, the privy being about three

feet higher than the well, the natural descent of the land being about

one foot in twenty-five, the distance between privy and well being only

about eighty feet. Another factor favoring the well contamination from

this privy is that any filth washed downward from the privy toward the

well would be stopped by the wall of the house proper and carried

directly toward the well which lies close to the southeast corner of the

house. Thus all of the conditions point to privy contamination of this

well which should be at once cemented up on the inside, thoroughly

cleansed and purified, before its use should be permitted, while all the

privies in question should be provided with vaults of brick eight inches

thick with eight-inch brick floors all laid with cement, and their

inside surfaces lined with cement at least one inch thick, to prevent

any further possible contamination."

In view of the imminent danger always possible wherever human wastes are

directly discharged into streams, whether from privies or sewers, it is

obvious that water so contaminated should never on any account be used

as drinking water. It does not follow, because a stream so contaminated

has been used for months or years without producing any evidence of

disease, that the water is safe. Unless an excessive amount of organic

matter is so transmitted, no evidence will be found that such pollution

has existed through any outbreak of disease. But if once the discharges

become affected through a person having typhoid fever, then the result

of the infection is apparent immediately. If, therefore, an inspection

of the stream above the point where it is proposed to take the

water-supply shows the existence of privies, as shown by Fig. 36, the

water should not be used for domestic supply, although a number of

individuals may have been using the water for years without bad effects.

It is a case in which prevention is much wiser than cure, and while

economy and convenience may indicate such a polluted stream to be a

desirable source of supply, a proper regard for health conditions will

rule it out absolutely.

Rural Hygiene · 第 7 / 21 章