After filthy Hudson River 1913
floodwaters submerges the water filtration plant in Albany, New York, local
authorities squelch an explosive epidemic of typhoid fever in a desperate manner
that convinces the nation that chlorination can eradicate waterborne disease.
“Barricade those doors! The Hudson is rising so fast now that
it’s our only hope!”
Instantly, sanitation engineers spring to the regulator
houses of the Quackenbush Pumping Station—the water-filtration
plant that purifies drinking water for New York’s capital city of Albany—and brace the doors of from the
inside. They begin caulking the cracks around the doors with oakum (tarred rope
fibers used to seal cracks between boards on sailing vessels) to prevent raw river water from entering the flow of pure water from the
filters and thus into the pure-water reservoir. Other men, heedless of the
torrential downpour, hurriedly build a temporary earthen embankment two feet
high around the slow-sand filter court. It is 8 AM Thursday, March 27, 1913.
But all precautions are in vain. About 4 AM Friday, March 28, as the raging Hudson rose
higher on the walls of the pumping
station, pressure from the swollen river bursts the door to one of the
regulator houses. Raw untreated river water pours into the pure-water
reservoir. The river—then a foot higher than the tops of the filters—breaks
through the makeshift embankment and fills the filter courtyard. It also
floods the hypochlorite disinfection plant.
For about
30 hours, the drinking water filters are submerged under the filthy, turbid
river. Moreover, the hypochlorite plant is halted from adding tiny, powerful
doses of anti-bacterial chlorine to the filtered water. Thus, for a day and a
quarter, raw river water is being pumped to half of Albany's homes and
businesses.
Quick background
to understand what happens next:
In 1913,
Albany drew its drinking water from two hilltop reservoirs—named Bleecker and
Prospect—each of which delivered water through separate pipes and supplied about
half of the city. Bleecker Reservoir was fed primarily from Rensselaer Lake in
Albany as well as from the Hudson River (the lake itself was fed by several
surface streams). In contrast, Prospect Reservoir was fed only from the Hudson.
Before being pumped uphill to both reservoirs, the Hudson’s water was first
treated by the Quackenbush Pumping Station, located on the slopes below downtown
Albany on the river (east) side of Broadway, which parallels the Hudson.
The pumping
station purified the Hudson River water with a two-step process. First, the
cloudy river water was filtered with slow sand filters to remove particulates; second,
the sparkling clear water was chlorinated to disinfect it. In 1913, municipal
disinfection of water supplies—which added minute amounts of hypochlorite of
lime (basically powdered bleach) to combat serious waterborne diseases such as
typhoid fever, was still controversial. The germ theory of disease was still
only a few decades old, and regulating the tiny dosage of chlorine was tricky;
indeed, the two cities that pioneered chlorination––Jersey City, New Jersey,
and Chicago, Illinois––had been doing so only since 1908, with Albany close
behind. Thus Albany was one of the first cities to chlorinate its drinking
water.
One last thing: In 1913,
major epidemics of typhoid fever—a wasting disease that lasted up to six
months, with a fatality rate of about 10%—were still common, accounting for
nearly 10,000 deaths annually nationwide. In those pre-antibiotic days, Walter
Reed and his co-workers had demonstrated that infection was linked to
unsanitary conditions, including drinking water contaminated by untreated human
sewage.
Back to
what happens in Albany during and after the record-high 1913 flooding of the Hudson
River:
Even
before the breach of Albany’s water supply, New York’s State Commissioner of
Health Eugene H. Porter commands all state authorities to use every possible means
to safeguard water supplies against infection and to warn the public. The
Albany Commissioner of Public Works Wallace Greenalch notifies all the
newspapers to warn the public to boil all drinking water for at least 15
minutes before consuming. The notices first appears on Saturday morning before
any raw river water reaches the city, and remains in force for two weeks.
Meantime,
as soon as the Hudson River retreats from its peak flood height and uncovers
the Quackenbush Pumping Station, engineers flush all water mains by opening the
hydrants. Within 24 hours, they also set up a temporary hypochlorite plant.
Despite
everyone's fast action, when the State Department of Health samples water in
the two hilltop reservoirs (to which the filtration plant pumped pure water for
gravity-fed distribution to the city), they find B. coli (an animal fecal protozoan that was an indication of
contamination by sewage) in Prospect Reservoir, which served half of Albany. But
the gate valve—which can shut off the reservoir from the water-distribution
system—is stuck open! There is no way to prevent sewage-contaminated water from
pouring out the taps in half of Albany’s homes!
Desperate
times call for desperate measures. Engineers load a small boat with bags of
hypochlorite of lime, row out into the center of the reservoir, punch holes in
the bags, and shake them vigorously as they continue rowing around and across
the lake, releasing the bleach powder directly into the water. (No report
mentions whether
Prospect Reservoir was lined with trees and vegetation or populated with fish,
or the effects on the environment from adding concentrated bleach directly to
the reservoir.) Just to make sure, they sterilize the reservoir a second time a
few days later.
Initially,
Greenalch is hopeful that the “dilution of the raw water was so great during
the period the plant was flooded that no danger from typhoid is expected."
But in
this, he is disappointed. Although before the flood Albany was substantially
free from typhoid fever, beginning on April 16 for about a week, at least 180
documented cases of typhoid broke out in the city. “Allowing some two weeks for
'incubation' and dating back on the diagram this period of time from April 16,
brings us directly to the period when infection of the water-supply took place,”
writes Theodore Horton, chief engineer of Albany’s State Department of Health,
in the weekly Engineering News. The
outbreak “constitutes one of the most interesting and striking examples of an
explosive epidemic due to a sudden... infection of a water supply..."
Horton draws
a diagram, which plots two curves [see illustration], showing the typhoid
infection in time. One curve profiles the rise and fall of the Hudson river and
the times of the contamination of the water supply during the flood, along with
the times of the sterilization of Prospect Reservoir. The other curve—actually a histogram, which perfectly
mimicked the first—plots the rapid rise and subsequent fall of the number of
cases of typhoid that developed as a result of first the contamination and then
the sterilization of the drinking water in Albany, up to May 5.
To test
the apparent causality by location, Horton also plots the typhoid cases on a
map of Albany to see where they occurred. The resulting map (which I have not
seen published anywhere), according to Horton, shows “a preponderance of cases
on the portion of the [water-supply] system connected with Prospect Reservoir.”
Prospect Reservoir, remember, was supplied only by the Hudson River. Bleecker
Reservoir, principally supplied by water from Rensselaer Lake, “was not
contaminated...,” Hotron concludes, “ so we have by comparison an indication of
the relative significance of the contamination that entered that entered
Prospect Reservoir."
Horton's
two-humped graph definitively linking an explosive typhoid epidemic to water
contamination from the 1913 flood—plus the fast stopping of the epidemic by
chlorination—was so striking that it (or slight variations of it) was widely
reprinted or summarized in engineering journals, medical and public health
journals, and reference texts, dramatically demonstrating the effectiveness of
chlorinating drinking water in preventing typhoid linked to poor sanitation.
©2012–2013
Trudy E. Bell. For permission to reprint or use, contact Trudy E. Bell at t.e.bell@ieee.org
Just how horrific was the carnage of the 1913 flood? Next time: “‘Death rode ruthless...’”
Caption
to graph: Theodore Horton’s much-reprinted (and often redrawn) double-humped
graph showing the dates of the contamination of Albany’s water supply by
floodwaters, the dates of sterilization and measurement of decreasing
contamination, and two weeks later—the incubation period for typhoid fever—an
explosive outbreak of typhoid in Albany, New York. This particular version of
the diagram was printed in “Investigation of Outbreaks of Typhoid Fever,” Thirty-Fourth
Annual Report of the State Department of Health [For the Year Ending December
31, 1913]. State of New York. No. 64. 1914, 742. No mention is made in the
document’s description why some of the histogram bars are crosshatched in gray
rather than black, an artifact that is real judging from the fact that the bar
for April 23 is half gray and half black. Redrawn versions generally omit the
distinction between bars.
Selected References
Albany was
by no means the only city that quickly set up a temporary emergency
hypochlorite plant to disinfect water supplies contaminated during the 1913
flood—Albany’s situation was only the most famous, in part because it afforded
such a convincing A-B comparison between a sterilized reservoir and a control. During the 1913 flood, emergency hypochlorite
plants were quickly set up by at least two other cities, both hard-hit in Ohio:
Zanesville (see [McCampbell, E. F.] Twenty-Eighth
Annual Report of the State Board of Health of Ohio. For the Year Ending
December 31, 1913. (Columbus, Ohio: The F. J. Herr Printing Co., 1914, p.
708) and Columbus (see William P. Mason, Water-Supply
(Considered Principally from a Sanitary Standpoint), (New York: John Wiley
& Sons, 1916), p. 219, which cites an article in Engineering Record).
Accounts of
the 1913 flooding of Albany’s water filtration plant and the unusual step of
sterilizing an entire reservoir appear in various engineering journals. See,
for example, “Albany Filtration Plant during the Flood,” Engineering Record, April 5, 1913, 374. Wallace Greenalch, “The
Flooding of the Albany Filtration Plant and Previous High Floods at Albany,
N.Y.,” Engineering News, April 10,
1913, 754–755. Theodore Horton, “The Typhoid Outbreak at Albany, N.Y., Due to
Flooded Filters,” Engineering News,
May 15, 1913, 1021–1022. Horton noted, “I believe this is the first case on
record of sterilization of a large open reservoir by the hypochlorite method
and the results show that two treatments of about 1 part per mission
accomplished an entire elimination of B. coli type and acid colonies from the
water in the reservoir,” and he felt “such emergency means should always be
kept in mind.” (p. 1022). Horton attributed the fact that there were any cases
of typhoid at all from the flooding to “the negligence of those who drank the
city water without boiling in utter disregard of the warning given by the
authorities in charge.” By the way, there is a contradiction in the dates of
the sterilization: Greenalch says March 31 and April 5, and Horton says (and
shows on his diagram) April 3 and April 5. See also “Investigation of Outbreaks
of Typhoid Fever,” Thirty-Fourth Annual
Report of the State Department of Health [For the Year Ending December 31,
1913]. State of New York. No. 64. 1914, 731–742.
The report
and two-humped chart were reprinted as Theodore Horton, “Typhoid Fever at
Albany, N.Y.: An Account of the Recent Outbreak Due to Use of Raw Hudson River
Water Following Flooding of Filtration Plant,” Public Health Reports 28 (May 23, 1913), 987–994, and became Public
Health Reprint 128. The findings were summarized and the chart itself was
reprinted in the fourth edition of the reference book William P. Mason, Water-Supply (Considered Principally from a
Sanitary Standpoint), (New York: John Wiley & Sons, 1916), 30–32. The
findings without the diagram were also summarized as “Typhoid Fever at Albany,”
The Boston Medical and Surgical Journal
169 (July 3, 1913), 26–27. These last two references also refer to a version of
the article that appeared in the Monthly
Bulletin of the New York State Department of Health, May 1913, which I have
not yet been able to locate.
Today the Quackenbush Pumping
Station’s original buildings survive as a locally well-known restaurant and
brew pub, the Albany Pump Station.
For
general background about typhoid fever and how municipal water supplies and
sewage treatment converted the United States from a third-world to a
first-world nation (hygienically speaking), see Bell, Trudy E. "Engineersand Enteric Fever: Designing Against Disease," The Bent, 101 (1): pp. 13–18, Winter 2010. In the 1880s, pioneering bacteriologists identified the
cause of typhoid fever as a bacterium carried by human waste; but the disease remained rampant in the U.S. until
sanitation engineers figured out how to filter and disinfect water supplies—eradicating waterborne disease by the 1930s,
well before the advent of
antibiotics, widespread vaccinations, or other medical treatment..
Bell, Trudy
E., The Great Dayton Flood of 1913,
Arcadia Publishing, 2008. Picture book of nearly 200 images of the flood in
Dayton, rescue efforts, recovery, and the construction of the Miami Conservancy
District dry dams for flood control, including several pictures of Cox.
(Author’s shameless marketing plug: Copies are available directly from me for
the cover price of $21.99 plus shipping, complete with inscription of your
choice; for details, e-mail me at t.e.bell@ieee.org )
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