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August 18, 1906


JAMA. 1906;XLVII(7):512-513. doi:10.1001/jama.1906.02520070046008

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In this issue appears our fourth annual analysis of the results of the celebration of Fourth of July. With it appear summaries of the analyses of the three previous years, and by a comparison of these sets of figures can be obtained a valuable estimate of the results of the agitation which has been kept up since 1903, when The Journal published the statistics of the cost of our Independence day celebration.

We may fairly divide the casualties of the Fourth into two classes, tetanus and injuries not associated with tetanus. The medical profession can be considered directly responsible only for some of the cases in the first class, while the responsibility for the injuries that cause the tetanus, as well as for all the other calamities, may be justly charged to popular ignorance and carelessness and to official incompetence and legislative indifference.

When we study the figures of cases

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