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Article
March 16, 1918

TYPHOID IN THE LARGE CITIES OF THE UNITED STATES IN 1917: SIXTH ANNUAL REPORT

JAMA. 1918;70(11):777-779. doi:10.1001/jama.1918.26010110010011
Abstract

The Journal presents its sixth annual survey1 of typhoid fever mortality in cities of the United States having over 100,000 population. The cities included in the summary number sixty, and are the same as those reported last year.2

The cities in Group 1 do not for the most part show any very material change from last year. Baltimore, New York, Philadelphia and Cleveland again make excellent records. Baltimore reaches a new minimum rate, a rate so low, indeed, that it was beaten by only two cities in the group in the five-year averages, 1906-1910. In addition to the improvements in the Baltimore water supply, the health department has made a vigorous attempt to find any typhoid carriers there might be among persons engaged in food-handling occupations.

In New York, milk was again responsible for a small typhoid outbreak in Manhattan in the first quarter of the year, and

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