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May 18, 1918


Author Affiliations


JAMA. 1918;70(20):1449-1450. doi:10.1001/jama.1918.02600200015006

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Cardiovascular disease is now the chief cause of death in the registration area, which covers slightly more than two thirds of the population of the United States. Cardiovascular degeneration, for the most part, is an insidious condition, far more difficult to diagnose in the incipient stages than is tuberculosis, but far more prevalent than tuberculosis and more frequently unrecognized by the practitioner.

As a result, I believe, of the great popularity of nostrums in this country, the millions in capital exploiting nostrums, and the vast propaganda of the nostrum interests that work indefatigably to misinform and mislead the lay public through every available avenue of publicity open to dishonest advertising, the great majority of victims of cardiovascular disease do not consult a physician until some alarming manifestation of the disease drives them to his office. And even then, too often, either the patient is averse to a painstaking examination or

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