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February 21, 1925

HICCUP: THE WINNIPEG EPIDEMICS

Author Affiliations

WINNIPEG, MANIT.

JAMA. 1925;84(8):580-582. doi:10.1001/jama.1925.02660340018007
Abstract

During November and December, 1919, Winnipeg experienced its first epidemic of hiccup, an extensive outbreak of at least 1,000 cases. A further, but smaller, outbreak occurred in 1922. It recurred here in November, 1924, during which epidemic a record of 1,400 cases was obtained. The population of Winnipeg and its suburbs is approximately a quarter of a million.

The disease is not notifiable. Many persons, considering it trivial, refrain from seeking medical advice, or obtain such advice over the telephone. Then, too, an age long association of the symptom with alcoholic repletion too often makes the sufferer an object of humor, and he is therefore diffident about complaining. Hence, an estimate of the number of cases, compiled from medical statistics, must fall far short of the actual figure.

EPIDEMIOLOGY  During each epidemic in Winnipeg, all the cases appeared within a period of six weeks. Cases were noted in the surrounding

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