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September 27, 1913


Author Affiliations

Professor of Pathology and Bacteriology, University of Iowa; Director of the Bacteriological Laboratory, Iowa State Board of Health. IOWA CITY, IOWA

JAMA. 1913;61(13_part_1):1027-1031. doi:10.1001/jama.1913.04350130021007

In this paper I shall consider the treatment of diphtheria carriers with the idea of ridding them of the specific germs. The paper will not comprehend the treatment of the diphtheria patient nor will it deal with the problem of isolating or otherwise protecting others from the carrier.1

The necessity for the treatment of carriers with the idea of getting rid of the diphtheria bacilli is obvious when we consider the frequency of the carrier condition and the length of time that the condition often continues. After the clinical symptoms of the disease have disappeared, the patient is ready to be released from quarantine, but the interests of the public health demand that he shall not mingle with the general public while he still carries the germs of the disease.

NUMBER OF DIPHTHERIA CARRIERS  According to Ledingham,2 50 per cent. of persons affected by diphtheria have lost the

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