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June 18, 1938

Current Comment

JAMA. 1938;110(25):2086-2087. doi:10.1001/jama.1938.02790250046016

SOURCE OF TYPHOID IN CITIES  In a case of typhoid recently reported in San Francisco it was determined that the patient had crossed the country from Boston by motor, beginning this journey exactly sixteen days before the onset of symptoms in San Francisco. The health commissioner of San Francisco wrote promptly to health departments in Massachusetts, New York, Indiana, Illinois, Ohio, Iowa, Nebraska, Wyoming, Utah, Nevada and California, outlining the trip which the patient had taken. Information was received from Indiana that several cases of typhoid had been traced to the place where the California patient had eaten a meal. Information was received from the board of health in Chicago stating that six cases of typhoid had been reported to the board in persons who had traveled on the bus lines between Chicago and the East. Typhoid therefore can become rapidly and widely disseminated today from a small focus because

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