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—Simultaneous with the assembling of the American Public Health Association in St. Louis, there was held in the same city a conference of members of the several State Boards of Health. The attention of the conference was chiefly occupied with the subject of the prevention of cholera, and the deliberations ended in the adoption of a report, the chief points in which were the positive declarations that " there are three essential factors to the presence of cholera in this country as an epidemic, viz.: Importation of the disease by means of ships directly or indirectly from its only place of origin in India; local unsanitary conditions favorable for the reception and development of the disease; and persons sick with the disease in some of its stages, or things affected by such sick persons to carry it from place to place." With equal positiveness the report asserts that " the cause of
Conference of State Boards of Health and Cholera.. JAMA. 1884;III(17):465-466. doi:10.1001/jama.1884.02390660017005