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December 6, 1924


JAMA. 1924;83(23):1849-1850. doi:10.1001/jama.1924.02660230043012

Although the usual incidence of endemic goiter in many parts of the world has long been known, and the inclusion of affected districts in the United States has been recognized, there seems even yet to be no adequate appreciation of the extent to which these existing conditions constitute a public health problem in this country. In a report in The Journal1 a few months ago, facts were presented to indicate the actual situation that careful field surveys had revealed in the state of Michigan, where it has been a matter of common knowledge for years that an abnormally high percentage of persons are affected with goiter. The outstanding features were in harmony with the experiences of Marine and Kimball, which led to their pioneer goiter prevention measures in Akron, Ohio, and other cities of the Great Lakes goitrous region. It is well to bear in mind, as a reminder

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