In any case, preventive measures can reduce the possibility of all these problems -- from making sure one's vaccines are up-to-date to drinking only bottled water.
As the wind picks up, the grand old lady drives her rail deep into the water, making it perilous for crew to manage the running backstays that keep the mast upright.
Communities and local civil society organizations need to be actively involved in decision-making in order to generate bottom up demand for change and hold governments to account for public investment in water and sanitation.