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To the Editor:—
During a recent visit of a large circus in this city, fever was discovered in several of the performers and laborers attached to the organization. Steps were immediately taken by the local health authorities, the chief physician of the circus, and members of the staff of Harper Hospital to examine every member of the group. July 23 and 24, seventy-eight men and women, ranging from the age of 15 to 50, were found to have typhoid or were suspected of being in the early stages of the disease. All of them were brought into Harper Hospital and isolated in a separate division of the hospital. Complete isolation precautions with a separate staff of nurses and physicians were placed in charge. Blood cultures and Widal tests were immediately done on the entire group.At this time, forty-seven of these patients have been definitely proved to have a typhoid
Freund HA. ACUTE OUTBREAK OF TYPHOID. JAMA. 1934;103(8):622-623. doi:10.1001/jama.1934.02750340086026