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October 17, 1908


JAMA. 1908;LI(16):1340. doi:10.1001/jama.1908.02540160050009

That American cities in general, and Chicago and Pittsburg in particular, suffer enormous losses in health and money from the smoke nuisance, is a fact that has become trite. Our London correspondent in this issue1 refers to the good work done in that city by the Coal Smoke Abatement Society in attempting to free the city from the smoke nuisance. While in this country it is fondly believed that London is the "horrible example" in smoky cities, the fact is that several cities in the United States are far worse in this regard than is the British metropolis. In London the smoke nuisance arises from the old-fashioned but universal method of heating the dwellings. The modern steam-heated, or even furnaceheated, flat is almost an unknown quantity in London, except for a comparatively few high-priced apartments in the West End. Everywhere is found the open fireplace in each room, with

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