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April 30, 1904


JAMA. 1904;XLII(18):1124-1125. doi:10.1001/jama.1904.92490630010001c

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Among the diseases which will extensively prevail during the work on the Panama Canal is interstitial gingivitis.

In this disease the alveolar process and gums are involved, the teeth become sore and loose and finally sometimes drop out. Medically, so far as the gums and teeth are concerned, the disease is not unlike scurvy, The pathology and etiology at bottom are the same. It is caused by change of climate and food. Men going from a temperate to a hot or cold climate are quite pronc to this disease. Soldiers in the Philippines, according to official report, are attacked by a disease of the gums—the teeth become sore and drop out. General Otis' (mail) report cites the case of Walter Fitzgerald, Company C, Twenty-eighth Infantry, formerly of the Montana Volunteers. This man of 23 years had been in the Philippines for a year and seven months. He

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