We have ground for national pride in the fact that England, France, Germany (not so much so) and Holland have been engaged in colonial business in the tropics for a hundred years, some of them for two hundred years; and yet it remained for American physicians (especially of the Army) to discover more things in ten years than were discovered in the whole two centuries before that time.
Porto Rico has been able to contribute a portion to the advancement along these lines. While the island was under military rule an example was given of what might be accomplished by organized effort. We are not to be surprised, therefore, that when civil government was first granted the sanitary work was instituted. It was not until two years ago the first of July that the service was organized as a separate department—with a former Army medical officer, Dr. W. F. Lippitt,
OTIS EF. EXPERIENCES OF A HEALTH OFFICER IN PORTO RICO. JAMA. 1913;61(19):1683–1684. doi:10.1001/jama.1913.04350200009003
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