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To the Editor:
—Please see page 446, second column, near top of page (for September 20,1890), where your New York correspondent says: "Consumption being peculiarly a disease of civilization (italics mine), is nourished by bad air and overwork amid insalubrious conditions," etc.Now, just what condition of living constitutes the condition the writer regards "civilization," I am unable to tell; but I do know—from years of personal observation—that our North American Indians, especially those that most nearly approach savagery, not only often die of various forms of phthisis, but are far more subject to tuberculosis (pulmonalis and other forms), than the white people of any city in the United States. And not only so, but the Indians who live and ramble over the Rocky Mountains, from British America to Mexico, are also quite subject to phthisis pulmonalis (and other forms of phthisis), notwithstanding they breathe (when out-doors) the best air
Smith QC. " Limited Practice " and the Code of Ethics.. JAMA. 1890;XV(19):699-700. doi:10.1001/jama.1890.02410450034013