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New York City, Jan. 20, 1900.
To the Editor:
Dr. Alfredo Garces, of Colombia, says: "In places where leprosy reigns it is necessary to avoid the quick changes of temperature which might stop perspiration; such are baths in very cold water, being tired, drafts of cold air when coming from a hot room, or when just awakened, or coming from a dance, or from the neighborhood of a baker's oven, or from the ironing board. Don't live in damp places, especially during confinement, or any other illness, for experience teaches that after a confinement, women predisposed to the disease, acquire it easily, and the same is observed in convalescence from grave diseases, as typhoid fever; dysentery, etc. We have instances of all these circumstances, etc."Any disease may be intercurrent in leprosy.
Ashmead AS. Typhoid Fever and Leprosy.. JAMA. 1900;XXXIV(4):250-251. doi:10.1001/jama.1900.02460040060021