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January 20, 1912

A PRACTICAL METHOD FOR THE CONTROL. OF TYPHOID FEVERAS APPLIED TO THE WATERSHED OF BALTIMORE

Author Affiliations

Secretary State Department of Health of Maryland; Chief, Bureau of Bacteriology; Acting Chief, Bureau of Communicable Diseases BALTIMORE

From the State Department of Health of Maryland. Baltimore.

JAMA. 1912;LVIII(3):163-166. doi:10.1001/jama.1912.04260010165002
Abstract

Whatever may be the difference of opinion among sanitarians as to the best means of dealing with the corollary problems involved in the propagation, transmission and implantation of the Bacillus typhosus, there is certainly unanimity of opinion as far as the fundamental problem is concerned.

Given the fact that the typhoid bacillus does not propagate outside of the human body and given that each case can be recognized from or before the beginning of its infective stage, the solution of the problem resolves itself into the immediate destruction of the bacillus at the time it leaves the body of the patient with the bodily excretions.

It would appear, then, that under a proper system of control the only two elements necessary to eliminate typhoid fever as a cause of sickness or death would be proper diagnosis (and by the word proper we mean a diagnosis that is both correct and

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