During
the 1800's, the inefficient
sewage system led to the outspread of infectious diseases such as
cholera,
typhoid, yellow fever, malaria and various other mosquito
diseases.
Cholera
Cholera
is a bacterial infection that spreads primarily through water
contaminated by human feces. Symptoms include high fever and a
rice-like diarrhea in which the "rice" is actually pieces of the
victim's colon flaking away. It
has a short incubation period, from less than one day to five days, and
can
quickly lead to severe dehydration and death if treatment is not
promptly given. During
an epidemic, 80-90% of diarrhoea patients can be treated by oral
rehydration alone, but patients who become severely dehydrated must be
given intravenous fluids. Cholera
is
often found in the aquatic environment and is often associated with
algal blooms (plankton), which are influenced by the temperature of the
water.
In 1832, 1.75% of the New York
population was killed
as a result of the cholera epidemic in a period of six weeks. This is
the equivalent of 140,000 New Yorkers today. The World Health
Organization (WHO) estimates that more than 25,000 people throughout
the world die every day from waterborne diseases. Every year, nearly
1.5 billion people (mostly children under five) suffer from preventable
waterborne diseases such as cholera.
Misquito Diseases
Typhoid Fever
Typhoid
fever is transmitted by food and water contaminated by the
feces and urine of patients and carriers. Polluted water is the most
common source of typhoid At present, there are 107 different strains of
the bacteria. Typhoid fever is characterized by the sudden onset of
sustained fever, severe headache, nausea, severe loss of appetite,
constipation or sometimes diarrhea. Severe forms have been described
with mental dullness and meningitis.
Typhoid
fever affects 17 million people worldwide every year, with
approximately 600,000 deaths. With the advent of proper sanitary
facilities, it has been virtually eliminated in many areas. Most cases
in developed countries are imported from endemic countries.
Yellow
Fever
Yellow
fever is a viral disease that has caused large epidemics in
Africa and the Americas. The infection causes a wide spectrum of
disease, from mild symptoms to severe illness and death. The "yellow"
in the name is explained by the jaundice that affects some patients.
The number of people infected over the last two decades has increased
and yellow fever is now a serious public health issue.
There
are 200,000 estimated cases of yellow fever and 30,000 deaths per
year. However, due to underreporting, only a small percentage of these
cases are identified. Small numbers of imported cases also occur in
countries free of yellow fever. Although yellow fever has never been
reported from Asia, this region is at risk because the appropriate
primates and mosquitoes are present.
Malaria
Approximately
300 million people worldwide are affected by malaria and
between 1 and 1.5 million people die from it every year. Previously
extremely widespread, the malaria is now mainly confined to Africa,
Asia and Latin America. The problems of controlling malaria in these
countries are aggravated by inadequate health structures and poor
socioeconomic conditions. The situation has become even more complex
over the last few years with the increase in resistance to the drugs
normally used to combat the parasite that causes the disease.
People
have been using protective measures against the mosquito as
early as 450 B.C.
More
than 120 million clinical cases and over 1 million deaths occur in
the world each year.
Eighty
per cent of the cases occur in tropical Africa, where malaria
accounts for 10% to 30% of all hospital admissions and is responsible
for 15% to 25% of all deaths of children under the age of five. Around
800,000 children under the age of five die from malaria every year,
making this disease one of the major causes of infant and juvenile
mortality. Pregnant women are also at risk since the disease is
responsible for a substantial number of miscarriages and low birth
weight babies.
Our Current Sewage
Disposal System
Our
sewage system has made a great deal of progress through the
years. While a vast majority of households lacked the luxury of
complete plumbing during the 1800's and early 1900's, this resource
became much more available to residents during the late 20th
Century. The greatest decrease in the percentage of households
lacking complete plumbing was seen between the years of 1940 and
2000. This great advancement for New York City residents can be
seen in the chart below.
The
success of plumbing availability may lead some people to ask the
question, "Where does my wastewater go?" What happens to
your toilet water and waste products after you flush the toilet?
Some people will say that it is dumped from their toilet straight into
the environment. The process is actually more complicated that it
may seem.
Wastewater
passes through bar screens to remove large pieces of garbage, like rags
and sticks. It is then pumped to settling tanks where solids sink
to
the bottom and are removed. The rest of the water goes to
aeration
tanks, where microorganisms eat the products we call waste, and is then
pumped to secondary settling tanks where the water is allowed to sit
and final bits of solid sink to the bottom of the tanks and are
removed. Finally, chlorine is added to kill remaining harmful
bacteria
to finally be emptied into the river.
Chlorine
Since it was first used on a large scale to disinfect water in America
in 1908, chlorine has helped defeat some of the deadliest diseases of
the past 100 years. Cholera, typhoid fever, dysentery and other
waterborne diseases were serious health issues at the start of the 20th
century, but the chlorination of water has virtually eliminated these
threats and helped increase life expectancy in America by more than 50
percent. Right now, chlorine is helping to control new outbreaks
of cholera and Legionnaire’s Disease. Chlorinated water from
tankers is being provided to stem a cholera epidemic that has infected
more than 12,000 people and killed 52 in South Africa since mid-August.
Deadly illnesses, such as malaria, have also been all but eradicated in
many areas, thanks in part to the use of chlorine-based pesticides, one
of the most effective and inexpensive ways to deal with mosquitoes and
other insects that spread disease. A recent example of the
continuing public health threat from waterborne disease outbreaks
occurred in Peru in 1991, where a major causative factor was the
absence of disinfecting water with chlorine. This resulted in a
five-year epidemic of cholera. The epidemic spread to 19 Latin
American countries and has been only partially abated through public
health interventions and technical assistance. More than a million
cases and 12,000 deaths have been reported.