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The recent epidemic of typhoid at Palo Alto, the site of Leland Stanford, Jr., University, has excited some attention, but fortunately it appears to be associated with a very small mortality. Unlike the Ithaca epidemic it had no connection with the remissness of local authorities as regards water supply, and seems to have been entirely traced to one or two infected dairies. The comparative mildness of the epidemic as opposed to that of Ithaca is noteworthy, and in this connection we would remark on an editorial discussion of the subject in the Medical Sentinel for April, which antedated the Palo Alto epidemic. The editor finds from his observation and that of others that, while the disease is most unnecessarily and disgracefully present on the Pacific coast, the general mortality from typhoid is low, especially in Oregon, where his experience allows him to speak most authoritatively. There is a decided difference
TYPHOID ON THE PACIFIC COAST.. JAMA. 1903;XL(20):1362–1363. doi:10.1001/jama.1903.02490200030011