Disease Outbreaks Resulting from Faulty Environmental Sanitation

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Abstract
Foods were a more prolific source of disease outbreaks in 1938 than were water or milk supplies, the number of outbreaks being 70, 48, and 42, respectively. The food-borne disease most frequently involved was gastroenteritis, with 23 outbreaks, and 1015 cases. 33 of the 48 water-borne outbreaks occurred in connection with ground water supplies, indicating the need of a more intensive sanitary control of ground water supplies. In only 1 of the 38 outbreaks traced to sweet milk was any attempt made to pasteurize the milk. All but 2 of the 48 water-borne outbreaks and all but 5 of the 42 milk-borne outbreaks occurred in communities of less than 10,000 population. Since only about half of our population lives in communities of less than 10,000, water and milk supplies in small communities are considerably less safe than those in large communities.

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