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Does anyone just drink the local water (using some common sense) get a bit ill now and again and carry on?
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Yes, except I never get ill - or not from Moroccan tap water, at least.
Nor from well / guelta water in the sterile Sahara.
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Would you drink direct from a well?
Or a tap at a campsite/garage?
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Yes to both. Never got knowingly ill off either.
All this faffing with tablets and filters - not needed in North Africa/Sahara.
More humid/populated Sahel – another matter.
The only time I buy bottled in Mk is on my tours because it reassures people and it's a way of making sure they drink, when they might be nervous of tap water.
Same with filtering guelta water on camel tours (2nd pic; not Mk). What a faff.
After a while, told people to BYO filters/tablets if they can be bothered.
Each to their own but people are unnecessarily squeamish about desert water sources in my experience. I suppose it's understandable but I find it's resto food that gets you.
As you say, common sense is the key.
Below: the sparkling spring at Ayoun du Draa ruins (MW3).
As fresh as you like.