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The problem is different.
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It happens when the Vibrio gets into the soil beneath a major city.
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And there, Pettenkofer used a horticultural analogy,
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referring to germination or fermentation.
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After the Vibrio gained access to the soil,
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under certain conditions it could germinate like a plant and
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give off its poison into the air above,
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that the population inhaled, and those who were susceptible
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fell ill in large numbers, and it was then that you'd have
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the onset of an epidemic.
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In nineteenth-century medical parlance,
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cholera was an example of a whole category of diseases that