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But there's more to it, in Pettenkofer's epidemiology.
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Like a plant, fermentation required a number
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of other preconditions.
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It needed water; plants always need water.
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It needed a warm temperature.
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It needed air and porous soil in which to grow.
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And it was at this point that we see why Pettenkofer's theory
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is sometimes called the groundwater theory.
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Groundwater was important to his analysis because he
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considered variations in the water table beneath the city to
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be a measure of the capacity of a soil beneath the city to
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support fermentation and give rise to cholera epidemics.