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The first thing is that
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by this time there was an enormous stigma associated
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with Asiatic cholera.
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Asiatic cholera in Western Europe
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and in North America was supposedly vanquished
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by the bulwarks of sanitation and public health.
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Cholera is spread by
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the ingestion n only one way
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which is the ingestion of food
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and water contaminated with fecal matter.
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And, so, it really is an indictment
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of sanitary standards.