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December 19, 1903


JAMA. 1903;XLI(25):1542. doi:10.1001/jama.1903.02490440032004

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The calamitous outbreak of typhoid fever at Butler must be ranked not only as one of the most extensive epidemics of the kind that has ever occurred in this country, but as one of the most extensive on record anywhere. Several of the largest epidemics of recent times have occurred in England and the United States. The magnitude of the Maidstone (England) epidemic, perhaps, surpasses that of any other carefully studied typhoid epidemic of late years, about 1,900 cases being recorded in a population of 35,000. The celebrated epidemic at Worthing, England, in 1893, gave rise to 1,317 cases. In the well-known epidemic at Plymouth, Pa., in 1885—perhaps the severest of all in proportion to the population involved—1,104 cases developed among a population of about 8,000. The total number of cases occurring at Ithaca last spring reached approximately 900. At Butler, a city with about the same population as Ithaca

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