ENVIRONMENTAL HEALTH 339
Between 1946 and 1960 a total of 228 waterborne out-
breaks with 25,984 cases were reported in the United States.^7
An outbreak in California involving Salmonella typhimurium
affected an estimated 18,000 persons in a population of
130,000.^8 An explosive epidemic of infectious hepatitis in
India with about 29,300 cases of jaundice was attributed to
inadequate chlorination and poor operation control.^9
Sewage normally contains organisms causing various types
of diarrhea, dysentery, infectious hepatitis, salmonella infections,
and many other illnesses. It becomes obvious that all sewage
should be considered presumptively contaminated, beyond any
reasonable doubt, with disease producing organisms. The mere
exposure of sewage on the surface of the ground, such as from
TABLE 1
Life expectancy at birth
Period or year Life expectancy
Neanderthal man (50,000 BC–35,000 BC) 29.4a
Upper paleolithic (600,000 BC–15,000 BC) 32.4a
Mesolithic 31.5a
Neolithic anatolia (12,000 BC–10,000 BC) 38.2a
Bronze age—Austria 38 a
Greece classical (700 BC–460 BC) 35 a
Classical Roman (700 BC–200 AD) 32 a
Roman empire (27 BC–395 AD) 24
1000 32
England (1276) 48 a
England (1376–1400) 38 a
1690 33.5
1800 35
1850 40
1870 40
1880 45
1900 48
1910 50
1920 54
1930 59
1940 63
1950 66
1960 68
1970 71
Note: The 1970 life expectancy reported by the United Nations for Sweden
was 71.9 for males and 76.5 for females and for the United States 67.0 for
males and 74.2 for females.
a E. S. Deevy, Jr., “The Human Population,” Scientifi c American, Vol. 203,
No. 3, September 1960, p. 200.
Life expectancy fi gures from 1690 to 1970 are for the United States.
TABLE 1a
Increase in life expectancy between 1900 and 1968 at selected ages a
Age Years added Age
Years
added
0 21 45 4.8
1 15.5 55 3.6
5 12.0 60 3.1
15 10.4 65 2.7
25 8.8 70 2.4
35 6.7 75 2.0
a Reference: The New York Encyclopedic Almanac 1971, New York, NY,
p. 496.
TABLE 2
Selected vital statistics—deaths per 100,000 in the United States
Cause
Death rate for year
1900 1950–60
Pneumonia and infl uenza 202 32
Tuberculosis 195 7
Diphtheria 40 0
Measles 14 0.2
Diarrhea 110 —
Typhoid 31 0
Malignant neoplasms 64 150
Cardiovascular and renal diseases 345 520
All causes 1719 934
TABLE 2b
Leading causes of death—deaths per 100,000 population in the
United States
Cause Death rate
Diseases of the heart 364.5
Cancer 157.2
Cerebral hemorrhage (stroke) 102.2
Accidents 57.2
Motor vehicle 26.8
All others 30.4
Pneumonia and infl uenza 28.8
Certain diseases of early infancy 24.4
Arteriosclerosis 19.0
Diabetes mellitus 17.7
Other diseases of the circulatory system 15.1
Other bronchopulmonic diseases 14.8
Cirrhosis of liver 14.1
Suicide 10.8
Congenital malformations 8.8
Homicide 6.8
Other hypertensive disease 5.6
Other and ill-defi ned 88.7
Total of all causes 9.537
From U.S. Public Health Service, 1967.
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