It seems like a simple question: Which came first, the sewer or the well? But it's much more complicated than that. The history of supply systems for drinking water is inextricably intertwined with that of systems for collecting wastewater. Sanitation practices that protect large groups of people from waterborne diseases like cholera and typhoid are complex things, and the actual practices that keep us safe are a combination of both very modern technology and very old reasoning. Getting it right, though, is not only a matter of things we want to have: It's a matter of protecting human lives, especially the lives of infants and small children.