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December 23, 1893


JAMA. 1893;XXI(26):984-985. doi:10.1001/jama.1893.02420780032005

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The health officers of the country are much exercised over the prevalence of smallpox. For a number of years there has not been many cases, and as a necessary consequence there are a great many persons unprotected by vaccination. The two most noted outbreaks that have occurred during the last six months are those of Muncie, Ind., and Reading, Pa., the result of mistaken diagnosis, and municipal neglect. To these two localities and the mildness of the disease may be attributed nearly all the other cases. The most marked features with regard to both cities was the low death rate; in fact it may be said the mortality was lower than any recorded. In a few instances the disease was contracted from immigrants, but owing to the great care exercised by the Marine Hospital Inspectors at foreign ports since May and at the ports of entrance,there were fewer cases from

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