A series of infections with Salmonella paratyphi B which occurred at a seaside resort in North Devon every summer between 1943 and 1946 concentrated local attention on a very unsatisfactory sewage outfall, which discharged into the sea at all stages of the tide and frequently caused fouling of the adjacent beach. The local authority, concerned at the possible association between beach pollution and the enteric infections and also by the prospect of serious economic loss in an area dependent on the summer tourist traffic, planned a new sewage disposal scheme based on the controlled discharge of sewage into the sea from a point which had been shown by float tests to be more suitable than the old outfall site.After discussion with the local sanitary authority and the consulting engineers who drew up the plans for the new scheme, it was agreed that bacteriological surveys of the outfall area should be made both before and after the installation of the new scheme. The main purpose of this paper is to give the results of these surveys, the first of which was carried out in the summer of 1948 and the second in the summer of 1950, 3 months after the new scheme had come into operation.
ENGINEERING AND EPIDEMIOLOGICAL ASPECTS OF BEACH POLLUTIONThe problem of sewage pollution of bathing beaches is a complex one. The discharge of sewage into the sea from coastal towns is determined partly by financial considerations and partly by the lack of suitable space for sewage works in most seaside resorts. If the sewage outfall can be pushed far enough out to sea and the sewage liberated at a reasonable depth below the surface, pollution of beaches will not occur, and this method has been successfully used at several seaside towns in this country, e.g. Bournemouth and Brighton. The prolongation of outfalls for long distances under the sea is, however, both difficult and expensive, and in many coastal areas sewer outfalls discharge sewage just below or even above low-water mark. Where this occurs on a beach used for bathing, two quite distinct problems arise. One is the health hazard occasioned by the deliberate discharge of potentially pathogenic material; the other is an aesthetic problem when the amenities of the area are affected by deposition of excreta on the sands, discoloration of the sea water by 'sleek' fields and the formation of slimy deposits on the beach round the outfall. The disfiguration of a popular beach by sewage may discourage summer visitors, and active local authorities are justified even on economic grounds in planning sewage disposal schemes which minimize the pollution of their beaches.If this problem is approached on frankly aesthetic grounds, it should be possible to set a maximum permitted level of sea water contamination on a bathing beach below which a sewage nuisance is very unlikely, and plans for an adequate sewage