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It has only been within a few years that the medical profession in general has come to appreciate the value of the study of natural surroundings in relation to their bearing upon disease. Not long ago hygiene in its true scope was an unheard of study even in the best of medical schools and it has only been very recently that an examination of the medical student upon this part of medical science has been insisted upon by the best faculties in the United States. In England, on the contrary, much more attention has been given to this subject and the government, in a paternal fashion, exercises a certain amount of oversight over hygienic matters which in this country are, unfortunately, too often ignored.
The graduate in medicine of many years ago looks upon hygiene as simply a study of the purity of the air, the purity of water, the
THE INFLUENCE OF LOCALITY ON DISEASE.. JAMA. 1898;XXX(21):1237–1238. doi:10.1001/jama.1898.02440730043005