Porto Rico is an interesting island-gem forming an emerald setting of the crescent of the West Indies. The climatic and social conditions are such that the various diseases have no difficulty in making great headway, when permitted to pursue their natural course. It is about the diseases here encountered that I wish to speak.
Manson has well said, "If by 'tropical diseases' be meant diseases peculiar to the tropics, then half a dozen pages might have sufficed for the description [for, at most, only two or three comparatively unimportant diseases strictly deserve that title]. If, on the other hand [the term] include all diseases occurring in the tropics, then the work would require to cover almost the entire range of medicine."
TUBERCULOSIS, TYPHOID AND MALARIA
Tuberculosis, typhoid and malaria may justly receive first mention; while rickets, bronchopneumonia, angina pectoris, venereal diseases, tumors, meningitis and a variety of chronic rheumatic
OTIS EF. DISEASES OF PORTO RICO. JAMA. 1913;61(13_part_1):1031-1034. doi:10.1001/jama.1913.04350130025008