SJBPH to dissolve by 12/31 as Archuleta, La Plata counties establish individual health departments

On November 9, 2022, the La Plata and Archuleta county boards of county commissioners approved a resolution establishing a planned and orderly dissolution of the San Juan Basin Public Health District by December 31, 2023. Each county is in the process of ...

Human Case of Plague Confirmed in Archuleta County

“On behalf of all of us at SJBPH, our hearts go out to the family while we work with CDPHE to conduct a thorough investigation to keep residents safe,” said Tiffany Switzer, Interim Executive Director of SJBPH.     &a...

New COVID-19 vaccine available locally

The Centers of Disease Control announced approval of a new COVID-19 vaccine with a recommendation for everyone 6 months and older to get an updated COVID-19 vaccine to protect against potentially serious illness this fall and winter. The updated COVID-19 ...

San Juan Basin Public Health supports families

Jessica is a single, working mom who was put on bed rest in the first trimester of her pregnancy and unable to work. Newly without income, she found WIC benefits and stayed nourished throughout her pregnancy. When her son was born three months early at on...

La Plata County resident with West Nile virus dies; Residents reminded to avoid mosquito exposure

A La Plata County resident with West Nile virus, a mosquito-borne illness, died recently. This marks the fifth West Nile virus case in the San Juan Basin Public Health (SJBPH) jurisdiction. SJBPH urges residents and visitors to take precautions to protect...

Board of Health to hold special meeting Thursday, August 10

The San Juan Basin Board of Health will hold a special meeting at 4 p.m., Thursday, August 10. Please click on the link to join the meeting via Zoom: https://us02web.zoom.us/j/89539364442 or call (719) 359-4580 or (312 )626-6799 Webinar ID: 895 3936 4442....

Primer caso del virus del Nilo occidental, identificado en el condado La Plata

El Departamento de Salud Pública y Medioambiente de Colorado ha identificado el primer caso del virus del Nilo occidental del año 2023 en el condado La Plata. San Juan Basin Public Health urge a los habitantes y los visitantes tomar ...

First case of west Nile virus in Colorado identified in La Plata County

The Colorado Department of Public Health and Environment has identified Colorado’s first case of west Nile virus of the 2023 season in La Plata County. San Juan Basin Public Health urges residents and visitors to take precautions to protect them...

Bat found in La Plata County home tests positive for rabies

A bat found in the Durango area last week tested positive for rabies. There was no human interaction, but vaccinated pets that were exposed have received booster rabies shots. 

Rabies is regularly found in Colorado wildlife, especially skunks and ...

Public Health response? SJBPH has a plan for that.

Through the community health assessment, San Juan Basin Public Health (SJBPH) examines the health of the community and provides programs and resources to keep the community healthy. Just like a person makes decisions that affect their health, so does a co...

Keep your family (including pets) safe this summer

Warmer months and favorite summer activities can also bring the risk of animal-, insect- and tick-borne diseases. San Juan Basin Public Health encourages everyone to take precautions to prevent animal-borne diseases by controlling insects and rodents arou...

SJBPH to discuss potential rule changes for pool and spa operators

San Juan Basin Public Health (SJBPH) will hold two stakeholder meetings in May to discuss possible changes to local swimming pool and mineral bath regulations. SJBPH invites swimming pool and mineral bath (spa) operators to attend one of the following dis...

COVID-19 public health emergency, local disaster emergency declaration end

The federal public health emergency declared in 2020 at the start of the COVID-19 pandemic comes to an end today, and the local disaster emergency declaration made by San Juan Basin Public Health (SJBPH) will also lapse. 

“We would like ...

Opioid harm reduction resources available at SJBPH Durango office

San Juan Basin Public Health (SJBPH) holds monthly events at its Durango office to distribute free resources that can help reduce the risk of harm when using certain drugs. Anyone can pick up fentanyl test strips and naloxone, an overdose-reversing medica...

What is harm reduction and why do we need it?

There is a lot of information and discussion regarding harm reduction, naloxone, and overdose prevention programs and services – and all for a great reason. Harm reduction programs make our community safer, and they save lives.

There are many ways we pract...

CDC changes COVID-19 vaccine guidance: Monovalent doses no longer available

The Centers for Disease Control (CDC) has changed its guidance for the COVID-19 vaccine, no longer recommending the original monovalent formula for use in the United States. 

CDC recommends that everyone ages 6 years and older receive an updated o...

Community members invited to apply for open position on SJBPH Board of Health

San Juan Basin Public Health (SJBPH) is seeking a qualified individual to serve on its Board of Health. The Board of Health Appointments Committee will choose a member of the public who lives in Archuleta or La Plata County and has education, experience, ...

Take precautions to prevent the spread of animal-borne diseases this spring

Warmer months are approaching, and that means more time outdoors. San Juan Basin Public Health (SJBPH) reminds the community that this increases the risk of contracting certain animal-borne diseases that are more common during warm weather months since hu...

Centering and Celebrating Cultures in Health – Public Health Week 2023

Each year, National Public Health Week provides a chance to celebrate and reflect on the outstanding service of public health workers and their contributions to keeping our communities safe and healthy. Public Health Week is April 3-9, and as we look to t...

SJBPH’s sexual health, cancer screening, immunizations clinics important resources in Southwest CO

Sexual health is an integral component of overall health and wellness across a lifespan. San Juan Basin Public Health’s clinic programs provide key services to help you make informed decisions about your health, including:

• Wellness exams
• Risk reduction coun...

Weigh in on community health priorities through April 7

San Juan Basin Public Health (SJBPH) on April 7 will close its survey to gather input from La Plata and Archuleta county residents on their public and environmental health priorities and needs. The results of this community health assessment will guide a ...

Board of Health to hold special meeting Friday, March 31

The San Juan Basin Board of Health will hold a special meeting at 5 p.m., Friday, March 31. in the Columbine Conference Room at SanJuan Basin Public Health, 281 Sawyer Drive, Durango. The meeting will be accessible via computer and telephone, as well as i...

SJBPH executive director attends ceremony for American Medical Association Nathan Davis Award

This week, Liane Jollon, executive director of San Juan Basin Public Health (SJBPH), attended the award ceremony for the American Medical Association’s (AMA) Nathan Davis Award for Outstanding Government Service. Awarded to Jollon in 2021, the recognition...

SJBPH requests judge appoint receiver to ensure smooth transition in health district dissolution

San Juan Basin Public Health (SJBPH), in coordination with Archuleta and La Plata counties, has filed an action requesting a judge appoint a third-party receiver to assist with the dissolution of SJBPH and the transition to single-county health agencies t...

SJBPH and Cottonwood Rehabilitation and Healthcare selected for public health, equity grant

San Juan Basin Public Health (SJBPH) and Cottonwood Rehabilitation and Healthcare have been awarded funding to begin addressing air quality, extreme heat, and infection control in long-term care facilities and indoor public spaces in La Plata and Archulet...

Your health matters and so does your voice: Weigh in on community health

Every five years, public health agencies in Colorado conduct a community health assessment to find out what public and environmental health priorities are important to community residents, and then uses the input gathered to craft a public health improvem...

El programa WIC está aquí para ayudar a medida que vencen las prestaciones adicionales de asistencia

Las familias anotadas en el Programa de Asistencia de Nutrición Complementaria (SNAP, por sus siglas en inglés) han podido recibir prestaciones adicionales desde marzo de 2020, debido a la emergencia de salud pública por COVID-19. Ya que las asig...

WIC program here to help as extra food assistance benefits end

Families enrolled in Supplemental Nutrition Assistance Program (SNAP) have been eligible for extra benefits since March 2020 due to the COVID-19 public health emergency. As emergency allotments for all states end as of March 2023, Februa...

San Juan Basin Public Health ofrece talleres educativos sobre pruebas de radón

San Juan Basin Public Health (SJBPH) ofrece una serie de talleres educativos sobre el radón para ayudar a la población a realizar pruebas de detección del gas carcinogénico en sus hogares y negocios. Enero es el...

San Juan Basin Public Health offers radon testing workshops

San Juan Basin Public Health (SJBPH) is offering a series of radon education workshops to assist residents in learning how to test for the cancer-causing gas in their homes and businesses. January is National Radon Action Month, and winter is the best tim...

SJBPH solicita opiniones de la comunidad sobre prioridades de salud pública

San Juan Basin Public Health (SJBPH) ha lanzado una encuesta para recopilar los aportes de los habitantes de los condados de La Plata y Archuleta sobre sus prioridades y necesidades de la salud pública y ambiental. Los resultados de esta evalua...

San Juan Basin Public Health seeks community input on public health priorities

San Juan Basin Public Health (SJBPH) has launched a survey to gather input from La Plata and Archuleta county residents on their primary public and environmental health priorities and needs. The results of this community health assessment will guide a pub...

Simple steps to keep your home healthy

We all want to live in a safe, healthy home, but unhealthy conditions are not always immediately obvious. The good news is that once you know what to look for it’s easy to clean up or make improvements. Doing so can literally save your life.

San ...

Los CDC amplían los requisitos para la dosis de refuerzo contra ómicron para incluir a los niños

La dosis de refuerzo contra ómicron de la vacuna contra COVID-19 ya está disponible para los niños de seis meses a cinco años de edad, lo que ofrece una protección adicional contra el virus a las poblaciones más jóvenes y ayuda a disminuir la propagación ...

CDC expands omicron booster eligibility to children ages 6 months to 5 years

The COVID-19 omicron booster vaccine is now available for children ages six months to five years, offering additional protection against the virus for our youngest populations and therefore helping reduce the spread and risk of severe illness from COVID-1...

Make the holidays about family, not the flu

With the beautiful dusting of the first snow comes the holidays’ less-celebrated counterpart: flu season. While holiday gatherings are a wonderful time to share laughter and fun, they can also be a way to share flu and other viruses.

In Colorado, the first...

SJBPH realizará eventos de bienestar e inscripción en seguro médico

San Juan Basin Public Health (SJBPH) celebrará dos eventos para respaldar el bienestar de la comunidad y la inscripción en seguros médicos en Durango y Pagosa Springs. Los miembros de la comunidad están invitado...

SJBPH to host wellness and insurance enrollment events

San Juan Basin Public Health (SJBPH) is hosting two events to support community wellness and insurance enrollment in Durango and Pagosa Springs. Community members are invited to attend to learn more about community programs supporting wellness for the who...

SJBPH offers free well testing for PFAS chemicals

San Juan Basin Public Health has received a grant from the Colorado Department of Public Health & Environment to address contaminants in drinking water. The funding will be used to provide free testing for perfluoroalkyl and polyfluoroalkyl substances...

COVID-19 Community Levels rise to High in La Plata and Archuleta counties

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 rose on Thursday in Southwest Colorado, moving Archuleta and La Plata counties into Level High. La Plata County has a case incidence rate of 142.3 per 100,000 residents and...

Opioid harm reduction resources available at SJBPH Durango offices

San Juan Basin Public Health (SJBPH) will hold two events at its Durango office to distribute free resources that can help reduce the risk of harm when using certain drugs. At the two events, anyone can pick up fentanyl test strips and naloxone, an overdo...

Better worlds start with great families and great families start with Nurse-Family Partnership

Becoming a new parent can be exciting, scary, challenging, rewarding and much more. Wouldn’t it be nice to have the support of a free personal nurse during pregnancy and after your baby arrives?

First-time moms enrolled in Nurse-Family Partnershi...

La Plata County Fairgrounds COVID-19 vaccine clinic open through Dec. 2

The Colorado Department of Public Health and Environment (CDPHE) has extended its COVID-19 vaccine clinic at the La Plata County Fairgrounds for several weeks, and is set to close on Friday, Dec. 2. There will be modified hours, beginning with a closure o...

Condados de La Plata y Archuleta en nivel comunitario medio

Los niveles de COVID-19 en las comunidades de los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés) para los condados de La Plata y Archuleta pasaron al nivel medio el pasado jueves. El condado d...

La Plata, Archuleta counties in Community Level Medium

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 in both La Plata and Archuleta counties moved to Medium last Thursday. Previously, Archuleta County was in Community Level low since Oct. 13 and La Plata was in Low since S...

Enfermedades respiratorias, el VSR incluido, detectadas en el condado de La Plata

Las pruebas realizadas en el condado de La Plata han confirmado la presencia del virus sincitial respiratorio, también conocido como VSR, lo que sirve como recordatorio de que las enfermedades respiratorias contagiosas están propag&a...

Respiratory illnesses, including RSV, detected in La Plata County

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 in both La Plata and Archuleta counties moved to Medium last Thursday. Previously, Archuleta County was in Community Level low since Oct. 13 and La Plata was in Low since S...

Los CDC reconocen los esfuerzos de la clínica de bienestar femenino de SJBPH

Los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés) reconoció las conexiones que hizo el equipo de bienestar femenino de San Juan Basin Public Health con las mujeres en nuestras comu...

CDC recognizes SJBPH Women’s Wellness Clinic’s efforts during COVID-19

The Centers for Disease Control and Prevention (CDC) recognized the health connections San Juan Basin Public Health’s Women’s Wellness team made with women in our communities during the COVID-19 pandemic, helping improve and save lives...

Health Insurance Literacy Creating Community Column

Connect for Health Colorado’s Open Enrollment season is upon us, but this year, things are a little bit different. In 2023, Colorado residents will have access lower, fixed-cost plans that have previously not been available. Also, Colorado resid...

Los CDC amplían los requisitos para el refuerzo contra ómicron para incluir a los niños de 5 a 12

SJBPH urge las dosis de refuerzo a medida que el monitoreo de aguas residuales locales demuestra niveles de COVID-19 en aumento La vacuna de refuerzo contra la variante ómicron de la COVID-19 ya está disponible para los niñ...

CDC expands omicron booster eligibility to children ages 5-11

SJBPH urges booster shots as local wastewater surveillance shows increasing levels of COVID-19

The COVID-19 omicron booster vaccine is now available for children ages 5-11, offering additional protection against the virus as cooler months approach and data...

Condado de Archuleta en nivel comunitario de COVID-19 medio

Los niveles de COVID-19 en las comunidades de los Centros para el Control y la Prevención de Enfermedades (CDC, por sus siglas en inglés) para el condado de Archuleta pasaron al nivel medio este jueves. Este incremento se debe a la t...

Archuleta County in COVID-19 Community Level Medium; La Plata County remains in Level Low

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 for Archuleta County moved to Medium on Thursday. This increase is due to the elevated 7-day incidence rate, which is 270.87 per 100,000 people. La Plata County remained in...

Fallece un habitante del condado de La Plata con el virus del Nilo occidental

Un habitante del condado de La Plata con el virus del Nilo occidental, una enfermedad transmitida por mosquitos, falleció la semana pasada, lo que representa el décimo fallecimiento entre los habitantes de Colorado con el virus en 20...

La Plata County resident with West Nile virus dies

A La Plata County resident with West Nile virus, a mosquito-borne illness, died last week, marking the tenth death among Colorado residents with the virus in 2022. San Juan Basin Public Health urges residents and visitors to take precautions to protect th...

Board of Health to hold regular meeting Thursday, Sept. 29

The San Juan Basin Public Health Board of Health will hold its regular meeting at 9 a.m., Thursday, Sept. 29 in the Columbine Conference Room at 281 Sawyer Drive, Durango. The meeting will be accessible using Zoom via computer and telephone. Public commen...

El consejo de salud celebrará su reunión regular el jueves, 29 de septiembre

El consejo de salud de San Juan Basin Public Health celebrará su reunión regular a las 9:00 del jueves, 29 de septiembre en la sala de conferencias Columbine en 281 Sawyer Drive, Durango. La población podrá acceder a la reunión en Zoom mediante computador...

Se amplían aún más los requisitos para la vacuna contra viruela del mono

El Departamento de Salud Pública y Medio Ambiente de Colorado amplió los requisitos para la vacuna contra viruela del mono en esta semana, eliminando el periodo de 14 días anteriormente asociado con los factores de riesgo....

Monkeypox vaccine eligibility expands further

The Colorado Department of Public Health and Environment expanded the criteria for monkeypox vaccine eligibility this week, removing the 14-day time period previously associated with risk factors. The expanded eligibility also considers ongoing or potenti...

Vacunas contra COVID-19 tan importantes como nunca en esta temporada del regreso a clases

A medida que los niños y adultos jóvenes vuelven a las escuelas y universidades, los contagios de COVID-19 en estos ambientes aumentan. Esto sirve de recordatorio sobre la importancia de mantenerse al día con las vacunas c...

Dosis de refuerzo contra ómicron ya disponibles en los condados de La Plata y Archuleta

El Departamento de Salud Pública y Medio Ambiente de Colorado (CDPHE, por sus siglas en inglés) ha comenzado a distribuir su suministro de la vacuna de refuerzo contra la variante ómicron de COVID-19 y las dosis ya están disponibles en los condados de Arc...

Monkeypox vaccine eligibility expands; available locally

The Colorado Department of Public Health and Environment expanded eligibility today for monkeypox vaccine and San Juan Basin Public Health (SJBPH) has doses of the vaccine available at its Durango and Pagosa Springs offices. SJBPH urges individuals who ar...

La Plata, Archuleta counties in Community Level Medium

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 in La Plata and Archuleta counties moved to Medium on Thursday. This increase is likely related to a rise in regional hospitalizations over the past week. From July&nbs...

SJBPH amends COVID-19 local public health advisory to reflect updated CDC guidance

San Juan Basin Public Health (SJBPH) amended its local public health advisory to reflect updated guidance and language provided by the Centers for Disease Control (CDC) as COVID-19 cases continue to level or decline nationally and locally. COVID-19 hospit...

Un habitante del condado de La Plata recibe diagnóstico, tratamiento por viruela del mono

Un habitante del condado de La Plata ha recibió el diagnóstico y un tratamiento por la viruela del mono, según informa el Departamento de Salud Pública y Medio Ambiente de Colorado (CDPHE, por sus siglas en ingl...

La Plata County resident diagnosed, treated for monkeypox

A La Plata County resident has been diagnosed with and treated for monkeypox, according to the Colorado Department of Public Health and Environment (CDPHE). Public health is investigating the case and completing contact tracing. Prior to the confirmation,...

La Plata County, San Juan Basin Public Health partner to provide opioid risk reduction program

The La Plata County Board of County Commissioners has committed $331,187 in American Rescue Plan Act funds to an opioid risk reduction program that San Juan Basin Public Health will administer in coordination with other community partners.

The program is d...

El Condado de La Plata y San Juan Basin Public Health colaboran para proporcionar un programa de red

La Junta de Comisionados del Condado de La Plata ha destinado $331 187 de los fondos provenientes de la Ley del Plan de Rescate Americano a un programa de reducción de riesgo en el consumo de los opioides que San Juan Basin Public Health administrará en c...

Second bat tests positive for rabies in La Plata County

A bat found northeast of Durango earlier this week has tested positive for rabies. There was a human interaction with the bat, and this individual is receiving post-exposure prophylaxis to protect from developing rabies. 

In Colorado, rabies occur...

Un segundo murciélago da positivo en la rabia en el condado de La Plata

Un murciélago encontrado al noreste de Durango anteriormente en esta semana ha dado positivo en la rabia. Hubo una interacción humana con el animal y esta persona está recibiendo la profilaxis anterior a la exposición para protegerse contra la posibilidad...

Un perro de las praderas da positivo en la peste en el oeste del condado de La Plata

Un perro de las praderas en el área de Hesperus/Breen dio positivo en Yersinia pestis, la bacteria que ocasiona la peste el viernes, 15 de julio. Las pulgas de la colonia de perros de las praderas han sido colectadas y enviadas al Departamento de...

La Plata, Archuleta counties in COVID-19 Community Level Medium

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 in La Plata County dropped to Medium on Thursday. Archuleta County remained in Level Medium. La Plata County has a case incidence rate of 140.5 per 100,000 and Archuleta Co...

La Plata County in CDC Community Level High for COVID-19, Archuleta County Remains in Level Medium

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 rose on Thursday in La Plata County. La Plata County is again in Community Level High, with Archuleta County remaining in Level Medium.  

Based on elevated levels o...

La Plata, Archuleta counties in Community Level Medium

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 in La Plata County dropped to Medium on Thursday. Archuleta County remained in Level Medium. La Plata County has a case incidence rate of 195.6 per 100,000 and Archuleta Co...

Bat found in La Plata County home tests positive for rabies

A bat found in a home in the Bayfield area last week tested positive for rabies. While a bite has not been reported, the humans and pets living in the home are receiving post-exposure and preventive treatment. 

Rabies is regularly found in Colorad...

COVID-19 Community Levels rise to High in La Plata, Medium in Archuleta counties

The Centers for Disease Control and Prevention (CDC) Community Levels for COVID-19 rose on Thursday in Southwest Colorado, moving Archuleta County into Level Medium and La Plata County into Level High. La Plata County has a case incidence rate of 245.4 pe...

COVID-19 transmission rising in La Plata, Archuleta counties

Recent COVID-19 incidence and positivity rates indicate that transmission is rising in La Plata and Archuleta counties, causing San Juan Basin Public Health (SJBPH) to urge caution over the Memorial Day weekend when gathering with friends and family. Cons...

Air quality advisory: Plumtaw Fire triggers unhealthy air quality

The Plumtaw Fire north of Pagosa Springs is affecting local air quality. Northern Archuleta and southern Mineral counties are currently experiencing unhealthy air quality, with moderate to heavy smoke expected throughout Wednesday.

Air quality sensors, inc...

Durango wastewater monitoring shows sharp increase in COVID-19 levels

The Colorado Wastewater Surveillance program at the Colorado Department of Public Health and Environment (CDPHE) has been monitoring wastewater throughout the state for COVID-19 levels. Recent results from the Santa Rita Water Reclamation Facility, servin...

Syphilis cases increasing in La Plata and Archuleta counties

The Colorado Department of Public Health and Environment (CDPHE) has issued an alert for La Plata County for an increase in syphilis cases over the past 12 months in comparison to previous years. San Juan Basin Public Health (SJBPH) encourages residents i...

Pertussis cases on the rise in La Plata, Archuleta counties and throughout western Colorado

There have been 29 pertussis cases in Colorado this year, up from seven over the same period in 2021. Of those, six cases have been reported in La Plata and Archuleta counties in March. This increase serves as a reminder to be sure you are current with yo...

Community vaccine clinics scheduled through April 30; Second booster shot available

The Centers for Disease Control (CDC) this week announced updated guidance on COVID-19 booster shots, recommending additional vaccine boosters for eligible individuals. Vaccine providers in Colorado are authorized to administer the additional doses now.&a...

SJBPH Co-Hosts Forums on Community Resilience and Well-Being

 In the fall and winter of 2021 and 2022, San Juan Basin Public Health (SJBPH) co-hosted Well-Being Amid Disruption Forums in collaboration with the American Geophysical Union’s (AGU) Thriving Earth Exchange, the Department of Environme...

Free KN95 and Surgical Masks Available to Community Members at SJBPH Offices

San Juan Basin Public Health (SJBPH) is pleased to announce that free KN95 and surgical masks are available at SJBPH offices in Pagosa Springs and Durango. SJBPH received a new shipment of KN95 and surgical masks yesterday from the State of Colorado's Div...

Free KN95 and Surgical Masks Available to Community Members in Archuleta and La Plata Counties

San Juan Basin Public Health (SJBPH) is pleased to announce that free KN95 and surgical masks are now available to the public at SJBPH offices in Pagosa Springs and Durango. Masks are available at SJBPH front desks on a first come, first served basis unti...

Community Partners, Schools, Local Governments, and Health Care Join SJBPH in Calling for Precaution

San Juan Basin Public Health (SJBPH) continues to report high levels of COVID-19 transmission driven by community spread of the Omicron variant. To preserve health care capacity and resources, support in-person learning, and maintain essential government ...

Omicron Variant of COVID-19 Spreading at Unprecedented Levels in La Plata and Archuleta Counties

San Juan Basin Public Health (SJBPH) is currently reporting more positive cases and transmission of COVID-19 than at any time during the nearly two-year pandemic. SJBPH attributes the local surge in cases to the highly transmissible Omicron variant. Quest...

200 years of public health has doubled our life expectancy

With National Public Health Week taking place April 3-9, I ask you to take a trip back in time and imagine yourself living 200 years ago in 1817. Living conditions then were vastly different from today due to poor sanitation, lack of proper sewage managem...