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October 3, 1931


Author Affiliations

Epidemiologist, North Carolina State Board of Health RALEIGH, N. C.

JAMA. 1931;97(14):998-999. doi:10.1001/jama.1931.02730140034010

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This paper is intended to set forth a brief description of the methods adopted toward the eradication of typhoid fever in Richmond County, N. C. Richmond County has about 35,000 people, two thirds of whom are Negroes. It is situated on the southern border of the sandhill belt, near Pinehurst. It is a manufacturing, agricultural and railroad center.

The county health department, functioning in cooperation with the state board of health, was organized in November, 1924. Typhoid had long been a problem in the county. As early as 1916 the state board of health had conducted an effective campaign against the disease with fine results, but the fight against typhoid was neglected from 1917 until the organization of the county health department.

In the first year of the organized health work, there were 35 cases with 10 deaths. In 1926 there were 19 cases with 5 deaths. In 1927 there

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