"The only people who understood the significance of boiling water were people with a biology background/ Doctors."
And the main character IS a doctor that's traveled all the way to China to help these people fight cholera.
But the question is, why didn't the doctor tell the village people to boil their water?
What the hell does that have to do with antibiotics. Obviously we understand that in this day and age, antiobiotics weren't just handed out to everyone in great quantities.
But boiling water is not a hassle.
Everyone knows how to start a fire, and everyone probably has some type of container or such, to boil the water in.
So, why not spread the word? If the doctor's mission was to prevent the spread of the disease, and he was going far enough to build a mill or whatever, then why not go the simple route and just go door-to-door or I don't know, hand out papers? Tell the locals personally.
"Contempt loves the silence, it thrives in the dark" -Merchant
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