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Andrew Skurka was traveling in areas of light to moderate human usage. His risks were mainly from agriculturally-influenced watercourses. The danger in untreated water lies in statistics. Yes, you may contract something but your chances are against it in these remote areas.
The last 1200 or so miles of the C2C follows the Pacific Northwest Trail, the companion handbook to which is very clear on water sources. As you read along it is almost assumed that users won't be treating water and there only few notations in which they prompt users to be certain to filter.
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