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July 15, 1922


JAMA. 1922;79(3):218. doi:10.1001/jama.1922.02640030044014

Great reforms are seldom accomplished over night. They are usually the outcome of a slow but unfailing evolution due to prolonged educational effort, sometimes coupled with the vigorous enforcement of new measures. By reason of the gradual appearance of the changes brought about, evidence of actual reforms is often difficult to secure when it is sought at too frequent intervals. This is likely to lead to discouragement at times, unless the searcher takes occasion to let longer periods of efforts at improvement pass in review so that the total accomplishment can more readily be envisaged.

The foregoing comments apply in large measure to the history of the attempts to improve the situation with respect to the marketing of foods and drugs. In this country the cumulative effect of national and state legislation, together with the propaganda of various agencies and the police powers exerted by the proper authorities, has not