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March 9, 1918


JAMA. 1918;70(10):695. doi:10.1001/jama.1918.02600100033017

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It is disappointing to find that widespread epidemics due to a sewage-contaminated water supply still occur with relative frequency in large and civilized communities. Peoria is the third large Illinois city to suffer from a visitation of this sort within a few years, similar outbreaks having occurred at Rockford and Quincy a few years ago. In the last named cities the outbreak was clearly traced to the water supply, and the circumstances leading up to the occurrence were fully investigated. In both Rockford and Quincy the outbreak of gastro-intestinal disease was followed by one of typhoid fever. It is yet too early to learn whether Peoria will be afflicted in like manner, but the health authorities in that city must be awaiting developments with anxiety. In the majority of such outbreaks everywhere typhoid with its relatively long period of incubation has been a sequel to the more sudden and more

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