JAMA 100 Years Ago Section Editor: Jennifer
Reiling, Editorial Assistant.
ELMER B. BORLAND, M.D.Professor of Hygiene and Dietetics, Medical
Department,Western University of Pennsylvania.PITTSBURGH, PA.
Charles Dickens decided that, as a people, we lack the national instinct
of cleanliness. He therefore designated Americans a nation of spitters. We
no doubt deserve the designation, as the enlightened nations of Europe regard
spitting on the floors and sidewalks as not only unsanitary, but an evidence
MUNICIPAL REGULATION OF THE SPITTING HABIT.. JAMA. 2000;284(14):1760. doi:10.1001/jama.284.14.1760