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September 29, 1928


JAMA. 1928;91(13):972-974. doi:10.1001/jama.1928.02700130050018

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India as a Source of Epidemics  At a lecture given before the Rotary Club of Calcutta, Col. J. D. Graham of the Indian Medical Service, public health commissioner, commented on the fact that India's birth rate for 1925 was nearly twice that of England and Wales; her death rate was twice that of England and Wales and nearly three times that of New Zealand, and her infantile mortality rate was nearly two and a third times that of England and Wales and nearly four and a half times that of New Zealand. For the great group of infectious diseases of world import, namely plague, cholera, smallpox, yellow fever, typhus, malaria and dysentery, if typhus and yellow fever were excepted, India was one of the world reservoirs of infection and the main reservoir of infection for plague and cholera. The implication was that India's house from the point of view of

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