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The conditions under which homes and their surroundings are kept healthful in the city and in the country differ in many respects, although the principles underlying them are essentially the same. In the city the sanitary condition of homes is maintained chiefly by a system of cooperation and centralization which brings into existence extensive sewerage systems, water supplies, and the collection of house waste by public authority. Regulations are prescribed and enforced under which the individual household must avoid all conditions which are likely to prove dangerous to the health of the immediate neighborhood and of the entire community. In the country districts, and more particularly in isolated homesteads, the conditions affecting the health of the household are largely in its own hands, and more individual effort is required to maintain healthful surroundings than in cities. The farmer must supply himself with his drinking water and must get rid of the waste of the household as best he can.

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