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Panama City's skyscrapers are dazzling, but look down and the pavements are often covered in leaking sewage.
Dr. Yeoh said this evening that the government was investigating whether the virus might have been spread by leaking sewage.
A yawning pit that swallowed a factory in Guatemala City in 2010 was caused by a leaking sewage pipe.
The leading theory for how nearly 300 people fell ill with SARS at an apartment complex here is that leaking sewage contaminated puddles through which people walked.
Across town, at the end of an alley leaking sewage, Sali Ismail, 16, spends her days staring blankly at the television.
For months, a rotten egg smell at the soon-to-be-opened Riverside South Park has caused neighbors to suspect leaking sewage.
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This movement is being led in the Florida Keys through a switch from a system of individual household septic systems, which leak sewage through the porous limestone bedrock into the ocean, to advanced waste water treatment systems.
The subsequent cholera epidemic, most likely caused by leaked sewage from a UN camp, was also blamed by some on vodouisants, triggering mobs to murder dozens across the country.
Dirty, poorly maintained toilets leak sewage into the ground and water supplies, and become breeding grounds for diseases and parasites such as worms.
"The system itself leaks sewage under and around trailers and in common areas," the government charged in court papers, leading to raw sewage being "tracked into trailers and elsewhere on the feet of residents and their pets".
But although Sutherland and her team strongly suspected human waste stemming from septic tanks that leak sewage into the Florida Keys's porous bedrock was the culprit, they had no proof that the disease didn't start with Key deer, cats, seagulls, or any of the Caribbean's other Serratia-harboring wildlife.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com