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Forgotten vulnerability: Generations before COVID-19, typhoid and tuberculosis killed North Dakotans


Indoor toilets weren’t yet universal, and outhouses were present even in cities. “All outside toilets are inspected and cleaned at night,” the public health officer in Devils Lake wrote.
The crude sanitation practices at the time created breeding grounds for pathogens. Mayville passed an ordinance in the spring of 1919 requiring all people selling cows within city limits to be tested for tuberculosis.
The city’s public health board recommended that Mayville “take action at once to comply” with state law on garbage disposal, “but as yet little has been done by the city for garbage disposal,” the city’s health officer reported for 1918-20. ....

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