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To the south of us, in Central America, lies Guatemala, a land of many contrasts and many public health problems. Along the coasts of the Atlantic and the Pacific the territory is flat and characterized by the lush tropical growth commonly associated with tropical diseases. Much of the interior is mountainous, with many citizens residing in altitudes of 10,000 feet or more. In these volcanic ash covered highlands live the majority of the Mayan Indians, who make up 85 per cent of the population. In the lowlands, malaria constitutes an omnipresent public health problem. In the highlands, the absence of sufficient iodine in volcanic soil paves the way for an enormous incidence of goiter. Almost universally in this land, parasitic worms infest mankind and are tolerated as a no less essential part of the body than are the fingers or ears. The present publication deals with epidemiologic studies of malaria
La malaria en Guatemala: Estudio epidemiológicos y desarrollo de la campaña antipalúdica. JAMA. 1938;110(20):1699. doi:10.1001/jama.1938.02790200067032