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April 23, 1960


JAMA. 1960;172(17):1940. doi:10.1001/jama.1960.03020170066016

A survey of the constituents of treated water supplies in relation to the mortality from cardiovascular disease has revealed noteworthy findings. The study was prompted by the knowledge that the age-adjusted death rate from all causes varied considerably from state to state. Arteriosclerotic heart disease, including coronary disease, accounts for 43% of all cardiovascular deaths and about 50% of cardiovascular deaths in men in this country. A natural male death rate of 250.8 per 100,000 was exceeded in all New England states except Maine, all Middle Atlantic states, and selected areas elsewhere. The extreme values were 336.1 in New York state and 148.2 in New Mexico. According to Sauer and Enterline,1 these data cannot be explained on the basis of quality of physicians or accuracy of death certificates. Also it would appear that racial background, local dietary habits, sources of food, and environmental stresses or strain do not vary

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