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January 15, 1938


Author Affiliations

Senior Medical Technician and Senior Surgeon, Respectively, United States Public Health Service WASHINGTON, D. C.

From the National Institute of Health.

JAMA. 1938;110(3):180-184. doi:10.1001/jama.1938.02790030014004

Endemic typhus fever was first recognized in the Southern states in Atlanta, Ga., in 1913 by Paullin.1 It was reported from Charlotte, N. C., in 1914 by. Newell and Allan,2 from Galveston, Texas, in 1916 by McNeil3 and from southern Alabama in 1923 by Maxcy and Havens.4 In the next few years, largely through the work of Maxcy,5 it became evident that this form of typhus fever was widespread in the states of the South, from the Atlantic seaboard to the lower Rio Grande Valley. In discussing the geographic distribution of the disease in 1929, Maxcy6 recognized the presence of endemic typhus in nearly all the seaports of this area and noted in particular that, while an "occasional case has been reported from the interior of the country, that section has been for the most part strikingly free." This author7 also noted that

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