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December 28, 1918


JAMA. 1918;71(26):2155-2156. doi:10.1001/jama.1918.02600520041013

The high incidence of simple goiter in various regions of the United States as well as in other parts of the world is beginning to be appreciated. Since goiter develops particularly during the adolescent period, the most valuable and accurate data as to its occurrence can probably be obtained from the examination of the public school population. Only beginnings have been undertaken in this direction; but the widespread employment of school physicians and the introduction of modern methods of school medical inspection and personal prophylaxis will make a vigorous attack on the goiter problem more promising in the near future. In a complete census of the condition of the thyroid gland in the girls from the fifth to the twelfth grades of the school population of a large community in the Great Lakes goiter district, it was found that 1,688, or 43.59 per cent., had normal thyroids; 2,184, or 56.41

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