Although people were not excessively diseased during normal times, medical treatments of the times were woefully inadequate to address many health concerns. Nutritional needs were barely addressed, leading to many deficiency symptoms. Plague and bacterial diseases such as typhoid were occasionally epidemic, as were common venereal diseases. Sanitary facilities were primitive, even by the early industrial age, and water supplies could easily be contaminated, as were the streets, by sewage and waste products. Anyone who lived to old age could not expect much in the way of treatment for rheumatism, arthritis, osteoporosis, or other common ailments.