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During August and September, 1907, there occurred in Bridgeport, Conn., thirteen or more cases of typhoid fever originating from a common source. The features in connection with this epidemic which seem worthy of general consideration are: (1) The importance of investigation, on the part of health authorities, of every case of typhoid fever reported to them; (2) the desirability of examination by attending physicians of blood and excreta in doubtful cases of this disease; and (3) sonic facts concerning the Widal test and dissemination which are sometimes overlooked.
On September 14 I attended a patient presenting the classic symptoms of typhoid fever. Inquiry developed the fact that there were four or five cases in the immediate neighborhood, all partaking of milk from the same dairy. It has never been the custom of our local health officers to investigate the source of typhoid fever, so that, while the cases mentioned had
HASKELL CN. A TYPHOID FEVER EPIDEMIC FROM INFECTED MILK.. JAMA. 1908;L(11):846–847. doi:10.1001/jama.1908.25310370012002c