It's also right at the edge of what is human safe. You can burn yourself and blow up cables, but it's very difficult to electrocute yourself (afib or muscle seize) without lots of wet contact.
https://incompliancemag.com/article/experiments-of-dc-human-...
I can't find a reference for that Swiss case though. I'll keep looking.
Voltages are all relative. It's like saying 'How do you get a height difference of 10 feet by digging?'
Well, you dig and then label the initial level as +10 feet, and redefine the bottom of your hole to be ground.
The reason why -48V is used is because it is provided as a bias voltage to give wiring cathodic protection, to prevent corrosion of telecom infrastructure. If you used 48V, it would not work. You need a negative voltage referenced against ground.
I see this more often on European stuff
The telegraph system figured this out very quickly. Most water in nature has at least a bit of salt in it, which is present as positive sodium ions and negative chloride ions. By making the outdoor wiring negative with respect to ground, the chloride ions are repelled, and such wires corrode much more slowly than those that're positive with respect to ground.
Since most of the telegraph network, later the telephone network, is outdoors, this is a pretty big deal.
First time I’ve ever seen this typed
You tie one of the leads to earth (literally grounding it)[1], leaving the other non-grounded. Depending on if you tie the negative or the positive lead to ground, you get 48V or -48V with respect to ground. As long as the potential between the most positive lead and the least positive lead is 48V, the circuit itself doesn't care.
As mentioned here[2], the reason for grounding the positive lead is to prevent galvanic corrosion[3] destroying the buried copper.
[1]: https://www.bicsi.org/docs/default-source/conference-present...
[2]: https://www.poweringthenetwork.com/uncategorized/negative-48...