Cholera is a truly horrifying disease, with severe diarrhea causing death through dehydration, while the patient remains awake and in agony.  The disease is carried by fecal bacteria, so it’s virtually unknown in highly developed countries today, because of our sophisticated sewage and drinking water systems.  Back in 1849, Boston had just begun to address its drinking water needs, with the Cochituate aqueduct opening the year before. We had not, however, even begun to deal with our sewage.  In most of Boston, raw sewage ran in open gutters down the sides of the street. When the first major cholera epidemic hit Boston in the summer of 1849, hundreds died.  There were no antibiotics or IV rehydration to treat victims with.  Instead, the city government took a public health approach that was focused on sanitation first.

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