Your answer is B. preposition
I think the answer is Disrepair
Connotation involves all of the positive and negative things associated with a word. Words with the same denotation (meaning) can have very different connotations.
for example: calling someone who dislikes spending money thrifty budget-savvy is very different from calling that person stingy or scrooge.
The answer to your question is a hyperbole i believe
Answer: The author might be suggesting that the bacteria and diseases from the cesspool are leaking into their water source and into the shared water pump water, spreading the disease.