Things were not always rosy in the past:

"In 1771, Tobias Smollet wrote, "If I would drink water, I must quaff the mawkish contents of an open aqueduct, exposed to all manner of defilement, or swallow that which comes from the River Thames, impregnated with all the filth of London and Westminster. Human excrement is the least offensive part of the concrete, which is composed of all the drugs, minerals, and poisons used in mechanics and manufacture, enriched with the putrefying carcases of beasts and men, and mixed with the scourings of all the wash-tubs, kennels and common sewers within the bills of mortality.""

http://www.pbs.org/kqed/demonbarber/madding/waterandwaste.html