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Or, moving from Naples--
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these are streets in Nottingham, in England,
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where cholera also caused a couple of major epidemics,
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for similar reasons.
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And the waste matter was simply hurled into streets like this.
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And in the center of the street would be the gutter,
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which would carry human waste as well.
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Another source of contamination is flies,
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which carry the cholera bacterium with them.
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The clothing of victims--that is, the bed linen,
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the mattresses and so forth--were also sources of infection,
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and laundresses were people who were particularly likely to fall victim.