June 16, 1894


JAMA. 1894;XXII(24):926. doi:10.1001/jama.1894.02421030030006

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" Cholera is a sensational disease," observes Mr. Albert Shaw in his paper on " Hamburg's New Sanitary Impulse," in the current number of the Atlantic Monthly. Like that other typical filth-produced disease, typhoid or enteric fever, a single epidemic outbreak of it may result in greater sanitary gains than the constant ravages of more distinctive but more insidious and commonplace maladies, familiarity with which breeds municipal tolerance, if not contempt.

The filtration of the entire water supply of Hamburg from the River Elbe had been under discussion and had been recommended for nearly twenty years; but, in the absence of any pressing emergency, it was not until 1890 that it was actually determined upon, and plans adopted and estimates made by which it seemed feasible to have the filtration plant ready for use during the present year. Cholera made its appearance in 1892, and its epidemic spread was so clearly due

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