Form 31B, 12-20-1881-6000. WATER SUPPLY, AND ITS Relation to Health and Disease. BY W. H. DICKINSON, M.D., MEMBER OF THE STATE BOARD OF HEALTH, AND CHAIRMAN OF STANDING COMMITTEE ON FOOD, DRINKS, AND WATER SUPPLY. WATER SUPPLY. From the earliest times an abundance of pure water has been regarded by mankind as one of the most desirable of blessings. When men, in the progress of civilization, began to mass themselves together in cities, one of the problems which early demanded consideration was, how to supply themselves with pure water. There were various sources of supply—from wells, from streams, and from rain-water stored in cisterns. Some cities, like Rome, undertook gigantic hydraulic works, building magnificent aqueducts to conduct the water from distant sources of supply into the imperial city. Jerusalem constructed vast cisterns hewed out of the solid rock, and filled them by subterranean conduits leading outside the walls of the city. The great importance of pure drinking water as a factor in the preservation of health is becoming more and more recognized by scientists and medical men. It is now generally conceded that impuri- ties in water are more potent in the origin and spread of disease than any other cause, and that the germs of many of the more fatal forms of disease are introduced into the system by means of water. Epi- demics of zymotic disease, as typhoid fever and diphtheritis, have so frequently been proved to have arisen from the use of contaminated water, that there is no question as to its influence. This is abundantly shown in the fact that so soon as the cause is removed the disease has abated. It is true that this class of diseases arises from other causes, but the use of impure water is one of the most frequent. It is asserted by some writers who deny the connection between the use of polluted water and the increase of disease that water known to be very impure has been used for years with immunity from any zymotic disease. Although much has been said jpro and con, it is undoubtedly true that the weight of evidence favors the theory that polluted water may, and does, become the cause of disease, and therefore the great importance which writers on sanitary science attach to the subject, and the importance of educating the public to right views and practices concerning their water supply. SOURCES OF SUPPLY. There are five sources of supply; namely, springs, streams and lakes, rain-water, and wells, each possessing different degrees of purity, 4 and of various degrees of abundance. In regard to purity they rank as follows: 1. Springs. 2. Deep wells. 3. Rain-water. t 4. Shallow wells. 5. Streams and lakes. Springs found in suitable localities, and furnishing an abundance of water, are very satisfactory sources of supply. Their advantages are a uniform temperature, and freedom from contamination. Their dis- advantages are, their liability to in solution an objectionable quantity of substances; as iron, sulphur, salt, etc. When furnishing a large amount of water they can be used to supply numbers of families by conducting the water through pipes to the places of con- sumption. Wells are of two kinds—deep and shallow. The first furnishes the purer water, to reach which it is generally necessary to bore through impervious clay. The water is, therefore, thoroughly filtrated in passing from the surface of the ground to the spot reached by the shaft. If too deep, however, as in the case of artesian wells, the water is liable to contain an exess of inorganic matter; as salts of magnesia and lime. Shallow wells, if favorably situated, usually furnish rea- sonably pure water; but unless care is taken in the selection of the site they will become polluted by organic matter, finding entrance by soil saturation, from surface drainage, or through fissures in the strata of the ground. It would be commonly supposed that rain-water collected in clean cisterns from well washed roofs would fill all the conditions of purity and wholesomeness; and it would do so were it collected at a distance from towns and villages. But rain-water collected in towns is far from pure. The water in falling carries with it many gaseous and solid substances with which the atmosphere is loaded. Roofs of houses are covered with dust, excrement of birds, fungus growths; and it is impossible, without the most vigilant care, to prevent these impurities from being carried with the water into the cisterns in objectionable quantities. It is asserted, also, with good show of reason, that the softness of the water, though admirable for cleansing processes, unfits it for drinking purposes because the structures of the body are largely supplied from the mineral constituents of water. Streams and lakes or ponds are placed last for several reasons. 5 They are the natural drains of the territory through which they pass, receiving not only the rain-fall, but also all organic and inorganic matter washed into them by a thousand tributaries. After rains they become turbid with earth. They are the receptacles of all the waste products of the inhabitants of the district; they receive the contents of sewers, cess-pools and privies; the offal of distilleries, slaughter- houses and tanneries, and the refuse of factories. Into them are thrown carcasses of dead animals as the most expeditious method of burial. From swamps they receive the matter of vegetable decomposi- tion, and are discolored by flowing over beds of peat. In the West the evil is not so serious on account of the low percentage of popula- tion to area, but some of our streams are beginning to show the effects of increasing population, and especially in the growth of towns of considerable size upon their banks. In the more densely populated districts of our Eastern States, and especially in parts of Europe, many of the streams are already hopelessly polluted, and the subject is elicit- ing the anxious consideration of sanitarians. It is certain that until some method can be devised to utilize sewage, the offal and refuse of manufactories, slaughter-houses, and distilleries, streams must be the channels through which waste products may •escape. The objections to the use of the water of streams as a beverage are: the high temperature; its occasional turbid condition after excessive rains; and the great liability to contamination from organic matter and waste products of factories. From the difficulty of supplying large cities from any other source the question resolves itself int6 the problem of how to secure, under these unfavorable conditions, an adequate supply of wholesome water. CHARACTERISTICS OF GOOD POTABLE WATER. Absolutely pure water for domestic use is seldom to be obtained, und even if it could be, is hardly to be desired. Distilled water is un- palatable, having a flat, insipid taste. Indeed, water to be pleasant to the taste must contain in solution certain gases; and is not rendered unpalatable nor unwholesome by the admixture of mineral substances, unless these are in excessive quantity. Waters which flow over or through granite and gneiss formations, are the purest, yet even these dissolve some mineral substances. The most common of these are the chlorides, sulphates, and carbonates of sodium, potassium, magnesium,- and calcium, together with silica and 6 'aluminum. Iron is the metal most frequently found. To the pres- ence of these minerals is due that quality of water called hardness. For cleansing purposes it is objectionable; but it is an open questionT whether hard or soft water is most beneficial to health. Nearly all water contains, also in solution, more or less of vegetable organic matter, due to the action of water on the vegetable matter over which it flows, or to vegetable growths which live and die in the water itself. Water flowing through peat formation is often highly colored, but is not, on this account, considered unwholesome. It is well known that water of this character is often selected for ocean voyages, on account of its power of retaining its freshness for long periods. In England and Ireland, bog-water is held in high repute for its excellence. So it will be seen that water need by no means be pure to be considered potable. Many of the substances held in solution by water can hardly be regarded as impurities, and their presence, or absence, does not affect the health of the consumer. What, then, shall be regarded as constituting pollution of water? As has been already remarked, it is difficult to find water entirely free from organic matters; and when these are present to only a slight extent, they do not affect to any appreciable degree the quality. IfT however, the organic matter held in solution in water exceeds a cer- tain proportion, it becomes injurious to health, and in still greater quantity, dangerous to life. Of organic matter, the first in point of virulence are the dejections from human sources; and the most viru- lent of all are those from persons sick with zymotic disease. It has been well established that these diseases are communicated from the dejections of the sick finding their way into the stomach of the well. That water polluted with excrementitious matter alone can originate these diseases has been a matter of controversy, but that water polluted with execrementitious matter from persons sick with certain forms of disease will induce the same diseases, is a fact well established. It has been argued by high authority that the reason of danger from organic pollution is, not that organic matter is harmful in itself, but that it serves as points of attachment and propagation of germs of septic diseases, and wherever there is organic pollution there also is danger of the presence of zymotic germs. Second in point of danger is pollution from offal of slaughter-houses, and the refuse of tanneries. Third, excrementitious matter from domestic animals; and lastly, from vegetable organic matter. If the presence of decaying products from vegetation poisons the air, and causes malarious diseases, it would seem equally probable that their presence in excessive quantity in water used for drinking would give rise to the same evil. Turbidity of water by itself can hardly be considered injurious to health, unless the quantity of earth held in suspension be considerable, and consists of clay, in which case constant use may bring on intes- tinal disturbances and indigestion. Turbid water, however, is liable to contain organic matter in excess, and hence due caution should be observed in its use. We come now to the methods of preventing contamination of water and of removing impurities when present. In many towns of small size, where it is impracticable to build water- works, on account of the expense, or the remoteness of the supply; and when well water contains an excessive quantity of mineral sub- stances, and especially the salts of magnesia, many are driven to de- pend upon rain-water for domestic use. In the country, where the air is pure, and little dust, it is generally only necessary to cleanse the cistern once or twice a year to ensure sufficient purity in the water, but in towns, as we have already shown, there are many causes of con- tamination. A great many devices have been adopted to render the rain-water fit for use. The first to suggest itself, is to allow the first flow to escape, until tin? air, roofs, and pipes are thoroughly cleansed, and not until then allow the water to flow into the cistern. This would necessitate the use of self-acting valves, or'of constant surveil- lance, both of which have been proven to be impracticable. Another way is to cause the water to flow through walls, or obstruc- tions which should remove objectionable matter, and render the water fit for use. A great variety of materials have been used for the pur- pose; as brick, porous tiles, vegetable and animal charcoal, compressed sponge, unglazed earthen-ware, sandstone, and spongy iron. Of all these, only two can be relied upon to any extent to remove or destroy organic material; namely, animal charcoal and spongy iron. The only objection to the latter is, that the water becomes more or less im- pregnated with the iron. One common method is to build a cylinder of brick in the center of the cistern, the water filtering through in suffi- RAIN-WATER. 8 cient quantity; another, to divide the cistern into two divisions by a brick partition. Sandstone or porous tile may be used for the same purpose. The objections to all these materials are, that they soon be- come clogged and covered on the outside with a deposit of decaying organic matter, through which the water must pass to reach the inner chamber, and which must necessarily communicate some offensive prop- erty to it, or the water is arrested in its passage and the supply ceases. This is the most fortunate result, for it calls attention to the condition of the filter and necessitates removal or cleansing. It is also doubt- ful if these materials destroy organic matter. Repeated experiments have shown that the best material for a filter is animal charcoal, used either in blocks or granulated. It has been demonstrated that this material destroys and removes organic matter. Blocks of the animal charcoal may be built up in cylinders, or parti- tions. A recent device is to attach the filtering box by coupling to the suction pipe of the pump, by which means it may readily be re- moved for cleansing or renewal. Whichever form of filter is used, it is advisable that it be thoroughly cleansed or renewed once in six or twelve months. PURIFICATION" OF WELLS. As a large proportion of our population are dependent on wells for water supply, it is of the highest importance that they should learn the danger of pollution, and the most effectual methods of preventing it. We read in our journals of whole families dying in farm-houses of diphtheria, and the community wonders at the cause. Possibly no other cases occur in the neighborhood. Witlt pure water, and pure air, these deaths would not have occurred. I do not think that men willfully disregard *the laws of health, but they ignorantly violate these laws, and suffer the penalties of sickness and death. I have placed wells as the second best source of supply, as regards freedom from organic pollution, when made with due regard to situa- tion and surroundings. Wells are of three varieties: First—Those which are dug through deposits of soil, sand, and per- vious gravel, until they reach a stratum of impervious clay. Second—Those which penetrate the first stratum of clay, and pass- ing through a bed of gravel or sand beneath the clay, reach another stratum of clay. These we may class deep wells, the first variety being entitled shallow wells. 9 Third—Artesian wells, penetrating the earth to considerable depth. In wells of the first kind, the supply of water may at first be clear, bright, and sparkling, and reasonably pure. It undergoes a process of filtration, oxidation (because porous soil contains considerable air), and sedimentation, the earthy and organic matters being filtered out and destroyed in the slow passage of the water to the water-level of the well. But the householder is generally guided only by convenience in the location of his well. It is usually in the rear of the dwelling, in close proximity to the kitchen. The barn, the privy, and the cess- pool, if such there be, are also conveniently located near the house, and also near the well. Generally, no regard is taken of the slope of the barnyard or of the direction of the stratum of clay upon which the well rests. Excrementitious matter from the barnyard, or the re- fuse of the kitchen are washed into it; the contents of the cess-pool or privy gradually saturate the soil in an ever-increasing area, until they reach the well. It is not necessary to the contamination of the water that the area of soil saturation should reach the well. As water is drawn from the well, there is a movement of the water in the surrounding soil to fill up the void, therefore surface water pass- ing through the area saturated with the organic matter will dissolve this matter and carry it into the well. After heavy rains it has been noticed that the water of shallow wells is more than ordin- arily impure. In towns and villages, the probability of pollution is much increased, owing to the greater contiguity of cess-pools and privies to the well, and the greater quantity of refuse matter upon the surface. WHAT ARE THE REMEDIES? First—To lay the upper part of the well in cement, so as to exclude surface drainage. Second—To pay due regard to the slope of the impervious bed, so that the direction of the underground flow should not be from the privy and barnyard toward the well. . Third—To place privies, cess-pools, etc., at a sufficient distance (not less than one hundred feet) from the well, so that if any organic mat- ter reaches the well it will be so much’diluted as to be innoxious. Another means of safety is frequent cleansing of privy vaults and cess-pools, and disinfection of their contents. Slops should not be thrown near the well. The question will be asked: What distance from deposits of filth 10 should the well be placed to insure non-pollution? It depends some- what on the nature of the soil, and the direction of the impervious stratum beneath. Instances, well authenticated, are reported of the contents of privy vaults polluting wells situated a hundred feet from them. Usually, however, a distance of sixty or seventy feet insures non-pollution. The water of deep wells, or such as derive their supply from under- neath an impervious stratum of clay, and which penetrate a water-bear- ing bed of gravel or sand—this kind of well is less liable to contamina- tion than the first, because it usually derives its supply of water from a distance, provided the surface, or ground water, does not obtain en- trance. If the surface soil is clay, no precautions are necessary, ex- cept to raise the mouth of the well above the surrounding level. But if the well is first sunk through sand, or gravel, the wall should be well laid in cement above the first seam of clay. Occasionally, however, there is danger of organic matter reaching the well through fissures in the clay, and especially the kind known as joint clay. If this is suspected, the privy, or cess-pool, from which the filth comes, should be removed to a greater distance, and in a different direction from the well. A new method which obviates many of the ordinary risks of pollu- tion is called the drive-well system, familiar to every person in the Western States. The pipe being impervious to water, except at its lower end, no impurities can find entrance, save such as are present in the water-bearing stratum to which it penetrates. If sunk through surface sand, or gravel, to the first layer of clay, the water is equally liable to contamination, except from surface drainage. A system for supplying water to towns of moderate size, situated on the margins of streams and ponds, has been practiced in Europe, and to some extent in this country. This consists in sinking one or more large wells near the bank of the stream, or pond. These wells are not supplied, as might be supposed, from the river or lake, as ex- periment has proved that the water will not filter through the bank in sufficient quantity, and attempts to obtain a sufficient supply from this source have proved a failure. Where, in the vicinity of a river or pond there is a sufficiently pervious soil, and especially where the land rises gradually from the river there is a body of ground-water moving slowly, and regularly, to the bed of the stream—if a well is sunk into this water-bearing soil, it intercepts and receives a portion of the water. A sufficient number of them, connected by galleries, 11 would undoubtedly furnish a large quantity of water. The quantity would be affected, however, by the porousness of the soil, its angle of declivity, and the amount of rain-fall. To supply a town from this source, the minimum amount entering the wells can only safely be calculated on. A well of this kind, sunk on the banks of the Elbe, where the soil was very porous, furnished 600,000 gallons every twenty-four hours. The pumping was so conducted as to keep the water in the well eight feet below its normal level. The question has been raised whether the supply for the city of Des Moines could not be furnished from large pits sunk near the banks of the river, under the supposition that sufficient water would pass from the river into them to supply the city, but experiments of this kind, as before stated, have proved a failure. It is possible, how- ever, that a sufficient quantity could be furnished from the ground- water moving toward the Raccoon River from the heights and along the bottom-lands. Waltham and Cambridge, in Massachusetts; Tou- louse, Lyons, Nevers, and Blois, in France; and Dresden, in Saxony, are supplied in this manner. The water collected in this manner, or by natural filtration, as it has been termed, is generally harder than river water, but more free from organic matter; yet if this ground- water passes under a densely populated neighborhood, it is liable to pollution from percolation from privies, cess-pools, and other collections of filth existing in said locality. RIVEKS AND LAKES, We come now to the examination of the water of rivers and lakes, and especially of the first named, as the source of water supply. Many of the large towns of this State derive their supply of water from this source, or are preparing to do so. Are the waters of our rivers of sufficient purity, when taken directly from them, to be health- ful? or do they need some method of purification to render them fit for use? I have already stated the causes of pollution of river water. Many of these are not as operative in our State as in some others; yet, with the rapid increase in the number of slaughter-houses, soap manufactories, rendering establishments, and sewerage from large towns, the danger is increasing yearly. The source of pollution is also a most dangerous one; namely, animal organic matter, a large propor- tion of which is in process of decomposition. A very small quantity of this matter in water renders it inimical to health. 12 SELF-PURIFICATION. There are three modes of self-purification of river water; namely, sedimentation, dilution, and oxidation. In addition, a certain amount of animal matter is consumed by fishes; a favorite place of resort for them being at the mouths of sewers. Aquatic plants also take up and assimilate considerable portions of organic matter. SEDIMENTATION OR DEPOSITION. Much of the waste matter thrown in streams is insoluble in water, and either sinks to the bottom, or is deposited on, or along the banks. Earths held in suspension are disposed of in this manner, so that a stream which is very turbid after heavy rains, soon becomes clear. DILUTION. This mode of self-purification is the diffusion of waste and excre- mentitious matter through the large mass of water, to such an extent that it becomes inappreciable to chemical tests. Sewerage, animal and vegetable matter, waste from factories, coloring matter from dye houses poured into rivers in quantities sufficient to render the water wholly unfit for use, are in the course of a few miles so largely diluted as to be probably innoxious. I say probably, for the reason that san- itary science has not yet determined to what extent polluted water must be diluted to render it fit to drink. Although a certain propor- tion of organic matter is destroyed by contact with air and light, and is consumed by fishes and plants, yet more or less still remains in the water for an indeterminate period. OXIDATION. It is undoubtedly true that in running streams, organic matter of certain kinds decomposes rapidly, and changes into harmless sub- stances. Others are less easily decomposed, as muscular fibre, which may remain for months in water and still be recognizable under the microscope. All water holds a certain amount of air, and in swift running streams the water is pretty thoroughly mixed with the air, and its oxygen unites with the organic matter in the stream, forming new combinations of nitrates, nitrites, and carbonic acid. Many examina- tions of the waters of streams have been made with a view to deter- mine the degree of purification within a certain distance from the source of pollution. This largely depends upon the width, depth, 13 velocity of current, number and size of affluents, rain-fall, etc. The Mississippi would so quickly dilute and oxidize the sewage and excre- mentitious matters discharged into it from cities like Dubuque, Clin- ton, Davenport, Burlington, and Keokuk, that at a short distance be- low, the water would be apparently as pure as above them. While the same cities, on much smaller streams, would contaminate the water for a much greater distance. Of these examinations I append a few, as illustrative of the effects of dilution and oxidation. The fol- lowing is taken from the Chicago Tribune: EXCRETION IN THE RIVER. “ There is some discussion and inquiry as to the purity of river water from which cities are compelled to seek supplies. Nearly all cities empty their sewers, reeking with excretion, into adjoining rivers, by which it is floated through smiling valleys to other cities below. The natural view of the case would be, that it is injurious to the health of the country through which it passes, and that no city lower down the stream could use the water with safety to health. But science and observation have thrown light on this important question. To quiet some minds the following is given, from the Boston Journal of Chemistry, May 1: “ Ten years ago we published in the Journal the results of several careful analyses of the waters of Merrimac River in eastern Massachu- setts. These waters were taken from the river at Haverhill, a point some eight miles below the last of the great manufacturing cities which line the banks of the river almost to its source. The cities of Lawrence with 40,000 inhabitants, Lowell with 60,000, Nashua with 15,000, Manchester with 50,000, are all upon this famous stream, and the excreta and filth of at least a half million of people, and the refuse from hundreds of immense mills, are poured into it constantly, day and night throughout the year. The waste from the mills is not only of a filthy nature, but a considerable portion consists of substances highly corrosive and poisonous; as acids, spent dyes, mineral salts, and caustic alkalies.- The Pacific Mills at Lawrence are of vast extent, the largest in the world, employing about six thousand operatives, and the filth coming from this establishment would seem to be sufficient almost to poison the waters of the Atlantic Ocean. The waters ex- amined were secured at a point, as had been stated, not more than eight miles below the outlet from these mills into the river, and at the season (July) when the stream is at a stage of water half way between 14 its maximum and minimum flow. The analysis showed a high degree of purity in the water, the organic and inorganic matter falling below four grains in the imperial gallon. Results of this nature, so unex- pected, created doubts as to the accuracy of the methods of analysis, but they were fully sustained by repeated testing under all the modi- fied forms known in chemical research. “‘Standing alone, these results would serve to show the remarkable capability moving water possesses of self-purification; but the fact is strongly established by researches in England made upon the streams which are polluted by wash from the large manufacturing towns and cities. The streams in England are small, there not being one of so great a volume as the Merrimac, which we regard here as a small river. The pollution of English streams is carried to an enormous extent, the water of many, at the outfall of the sewers of large towns, being actually offensive; as it passes down the river it blackens from formation of sulphide of iron; further on the black color de- creases, disappears, and the river at last exhibits no signs of odor, color, or turbidity. Again, soon after the sewage has been turned into the river the sewage fungus appears; the banks are black. A short distance further the fungus vanishes, vegetation is luxuriant, fish abound, the river clears, and no trace or blacf deposit can be seen. Thus the river Soar at Leicester is black with sewage. At Lough- borough, thirteen miles distant, the water is perfectly clear and fish are abundant. The Irwell at Manchester is polluted with every form of filth; in nine miles the offensive character of the stream has en- tirely disappeared; and so in many cases. “At no time and under no circumstances have the waters of the Merrimac became so impure, even at the point where they flow through cities, as to destroy life. Fishes in considerable numbers are found in the river at all seasons, and in the spring, shad, salmon and alewives abound.1 “ Great alarm was felt in Chicago a year ago because of the bad con- dition of the water obtained from the lake. The enormous amount of filth carried by the river into the lake had seriously contaminated the water as far out as the crib from whence the water used by the city was obtained. Examinations of lake water at various points were made to ascertain the area of pollution. The following is the report made by the chemist of the Health Department: “A full report of the analysis of samples of water recently taken from the lake was made by Professor Paton, the chemist of the Health 15 Department on yesterday. It has been already stated in the Times that the professor found indications of decomposing animal matter in the water, but it was not then known from what points the several specimens were obtained. The complete report as now submitted is important as showing very satisfactorily where water may be obtained from the lake with the least liability to contamination by the city sewage. u It shows that during the late period of high water in the river the lake was certainly contaminated at and about the crib. This con- tamination was greatest, at the time the samples were obtained, a quarter of a mile southwest by south of the crib; next, in the well of the crib, and the contamination seemed to grow less as the distance east or north of the crib became greater. It does not follow that the contamination was wholly from sewage—for some reason no samples seem to have been taken from the lake between the crib and the mouth of the river—but it would be difficult to convince those who drank of the water that it came from any other source. Samples were taken at varying distances from the shore as far north as High- land Park, twenty-two miles from the city. In these only small traces of free ammonia and little albuminoid ammonia wTere found. The water seemed to grow purer the further north the samples were taken, after passing the outlet of the Fullerton Avenue conduit. “The following table gives some of the results. Samples were taken both from the surface and at or near the bottom of the lake at the point indicated. The figures relate to the samples taken from the bottom. The analysis of the surface water varied slightly. The impurity of the water is indicated by the amount of ammonia it con- tains: WHERE TAKEN. PARTS PE3 S eg STS a> 2 21 a fa t MILLION. 3 S3 g*s .5 o a a