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August 4, 1906


JAMA. 1906;XLVII(5):367. doi:10.1001/jama.1906.02520050051009

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Much of the disease in the world is commonly attributed to errors in diet, both as regards quantity and quality. It is also usually supposed that the sufferings of poverty are largely connected with insufficient nutriment and much is said about the extravagance of the rich and the hunger of the poor as contributing to the miseries of this life. It is rather interesting, therefore, to hear from philanthropic workers, who may be supposed to know what they are talking about, that a large portion of the illness of poverty-stricken New Yorkers is due to over-eating. There is plenty of malnutrition and undoubtedly some actual starvation in the slums, but this testimony indicates that it is more exceptional than has been generally supposed. In this country we have never had anything like the famine conditions that exist is some parts of the world. We must consider, however, that the evil

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