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The bacterium would gain access to the municipal water supply,
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and there would also be the danger of swimming,
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or of eating shellfish that fed on sewage,
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especially if the custom was to eat it raw.
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The disease would then spread along inland transportation networks.
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We've said too that cholera was a disease of urbanization,
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and of a defective urban infrastructure,
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without sewage systems.
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And remember, in the nineteenth century,
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waste in European cities was predominantly thrown into the streets,
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where there would be a seepage downward into tank wells;
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that people would then drink the water and its bacterial bounty.