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January 16, 1915

"Hospitalism" and Infant Hospitals

JAMA. 1915;LXIV(3):265. doi:10.1001/jama.1915.02570290077027

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To the Editor:  —I regret very deeply that Dr. Henry Dwight Chapin did not make two articles out of the one entitled, "Are Institutions for Infants Necessary?" which appeared in The Journal of January 2. One article might then have been entitled, "Are Infant Asylums Necessary?" and his conclusion would have been "No," in agreement with practically all thought on this line of social work.His second article might have had the title, "How Can Mortality in Infant Hospitals be Reduced?" or "Successful Methods Used in a Certain Infant Hospital, as Shown by Its Low Mortality Record." An abstract of the second article might then have read as follows: "Hospital marasmus the result of bad hygiene and ward infections. Such infections recall mortality of old time maternity hospitals. No excuse for either in this century. Methods which allow such infections have survived from 200 years ago. Modern methods in hygiene,

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