Historical analysis reveals water governance impacts epidemic diseases in Southeast Spain, suggesting lessons for today.
This study examines the historical relationship between water management and epidemic diseases in the Region of Murcia (Southeast Spain) between the 16th and 19th centuries. It focuses on two major pathologies—yellow fever and cholera—which, despite differing transmission mechanisms (vector-borne and waterborne, respectively), both depended critically on aquatic and semi-endorheic ecosystems. By analysing archival records, parish death registers, and historical reports of floods and droughts, the paper demonstrates how inadequate hydraulic infrastructure and poor sanitation practices intensified epidemic outbreaks. At least five large-scale epidemic episodes (1804, 1834, 1854, 1865, and 1885) coincided with extreme hydrological events, indicating a clear correlation between water governance failures and mortality peaks. Conversely, periods of effective state intervention through regulation and infrastructure maintenance reveal a marked reduction in disease incidence. The results highlight that water governance was not only a technical challenge but also a socio-political determinant of public health. These historical insights remain relevant today, particularly as climate change exacerbates water-related risks worldwide. Understanding the long-term interactions between ecology, infrastructure, and disease contributes to current debates on environmental resilience and sustainable management of water resources as key components of collective health and social stability.
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López-Barquero et al. (2026) studied this question.
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