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August 2, 1930


JAMA. 1930;95(5):353-354. doi:10.1001/jama.1930.02720050041021

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Clinics for Children of Laborers  Data collected by Mr. Straub on the health of children of laborers on the east coast of Sumatra show that the mortality rate for children under 17 years of age is 26 per cent. The birth rate, however, is high, and there is a considerable excess of births over deaths. The physicians have tried different means to modify the high death rate. Medical care is centralized. All patients are sent to a central hospital. The family of the laborer is treated in the same manner. This system has the disadvantage of overcrowding the hospitals and of increasing the dangers of infection. Another system tried by Straub and Kouwenaar consists in the employment of a visiting nurse who examines all children and sends to the hospital those who present the least symptoms of disease. Those who present only benign symptoms are brought to a center at

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