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Enteric Fever and Sewage Disposal in Tropical Countries
Published online by Cambridge University Press: 15 May 2009
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That many epidemics of enteric fever have been caused by contamination of central water-supplies is beyond dispute, but evidence is accumulating that makes it difficult to attribute its widespread prevalence in endemic form in India and elsewhere to this cause. It is necessary, however, to guard against assuming that therefore the disease is not water-borne. There are in India innumerable chances of water, when stored for domestic use, being contaminated, besides the same possibility in the case of food, feeding utensils, and cloths used for cleaning them. And when it is claimed that dust or flies play an important rôle in its dissemination, it is not necessary to assume that the bacillus is taken into the mouth or respiratory passages directly, but rather that it is conveyed to water, &c., by means of dust or flies.
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References
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